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NPI Code Detail

MEDICARE: MRS. MICHELLE DAWN STUTLER RPH

MEDICARE:  MRS. MICHELLE DAWN STUTLER  RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist03-1-22783OH

General Provider Information

NPI Number : 1669553434
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MICHELLE DAWN STUTLER RPH
Provider Business Mailing Address
First Line : 8787 BROOKPARK RD
Second Line :
City : PARMA
State : OH
Zip : 44129-6809
Country : US
Telephone Number : 216-739-7000
Fax Number :
Provider Business Practice Location Address
First Line : 8787 BROOKPARK RD # 119P
Second Line :
City : PARMA
State : OH
Zip : 44129-6809
Country : US
Telephone Number : 162-739-7000
Fax Number : 216-229-2596
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2006
Last Update Date : 10/19/2023

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Directions to “ MRS. MICHELLE DAWN STUTLER RPH” Practice Location

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