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NPI Code Detail

MEDICARE: JOHN MICHAEL STOLTZFUS

MEDICARE: JOHN MICHAEL STOLTZFUS
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
1363A00000XPhysician AssistantMA002257LPA

General Provider Information

NPI Number : 1740247956
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN MICHAEL STOLTZFUS
Provider Business Mailing Address
First Line : 1012 WATER ST
Second Line :
City : MEADVILLE
State : PA
Zip : 16335-3468
Country : US
Telephone Number : 814-382-3100
Fax Number : 814-382-0872
Provider Business Practice Location Address
First Line : 1012 WATER ST
Second Line :
City : MEADVILLE
State : PA
Zip : 16335-3468
Country : US
Telephone Number : 814-382-3100
Fax Number : 814-382-0872
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2006
Last Update Date : 02/05/2026

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Directions to “ JOHN MICHAEL STOLTZFUS ” Practice Location

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