Healthcare Provider Details

I. General information

NPI: 1841891371
Provider Name (Legal Business Name): MICHAEL STUTZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/02/2020
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3722 EASTON NAZARETH HWY
EASTON PA
18045-8340
US

IV. Provider business mailing address

2801 BRINKER LN
EASTON PA
18040-7253
US

V. Phone/Fax

Practice location:
  • Phone: 610-533-7320
  • Fax:
Mailing address:
  • Phone: 724-968-9578
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP452721
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: