| William M Stinson Md Medical Corp | |
|
2101 Jackson St Suite 101 Anderson IN 46016-4386 | |
| (765) 646-8479 | |
| (765) 646-8526 |
| Full Name | William M Stinson Md Medical Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 2101 Jackson St, Anderson, Indiana |
| Authorized Official Name and Position | David Mark Stinson (PRESIDENT/PROVIDER) |
| Authorized Official Contact | 7656468479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William M Stinson Md Medical Corp 2101 Jackson St Suite 101 Anderson IN 46016-4386 Ph: (765) 646-8479 | William M Stinson Md Medical Corp 2101 Jackson St Suite 101 Anderson IN 46016-4386 Ph: (765) 646-8479 |
| NPI Number | 1639353949 |
|---|---|
| Provider Enumeration Date | 12/21/2007 |
| Last Update Date | 04/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639353949 | NPI | - | NPPES |
| 000000100998 | Other | IN | ANTHEM BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01032850 (Indiana) | Primary |
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