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General NPI Number Information
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NPI Number | 1639237175
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Entity Type | Organization
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Legal Business Name | MICHAEL E. STUNTZ, M.D., INC.
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5 VIA JOAQUIN SUITE 1
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City | MONTEREY
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State | CA
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Zip | 93940-4530
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Country | US
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Telephone | 831-643-9343
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Fax | 831-643-9346
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Provider Business Mailing Address
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Address Line | 5 VIA JOAQUIN SUITE 1
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City | MONTEREY
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State | CA
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Zip | 93940-4530
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Country | US
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Telephone | 831-643-9343
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Fax | 831-643-9346
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL E STUNTZ
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Credential | M.D.
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Telephone | 831-643-9343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | G77130
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License Number State | CA
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