Maurice W Stutzman, MD
Individual provider Active NPI Family Medicine Physician · Berlin, OH
NPI 1144201666 · NPPES record last updated Dec 5, 2007
Key facts
- NPI
- 1144201666
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 35048434 (OH)
- Practice address
- 4907A Dalbey Lane
Berlin, OH 44610 - Phone
- (330) 893-2341
- Fax
- (330) 893-3027
- NPI assigned
- Nov 10, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35048434 | OH | Yes |
Addresses
Primary practice location
4907A Dalbey Lane
Berlin, OH 44610
Mailing address
PO Box 366
4907A Dalbey Lane
Berlin, OH 44610-0366
Phone (330) 893-2341
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0552576 | Medicaid | OH |
Other providers in Berlin, OH
- Vanessa Shutt
- Amanda K Sindel
- Jennifer Lee Smith
- Tammi Kim Snow
- Lindsay Nicole Stutzman
- Michael Allen Stutzman
- Candy Yoder
- Kevin C Yoder
All providers in Berlin, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.