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General NPI Number Information
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NPI Number | 1831466085
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Entity Type | Organization
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Legal Business Name | DON F. STALLMAN MD
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Dates
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Enumeration Date | 11/16/2011
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Last Update Date | 02/21/2012
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Provider Practice Location Address
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Address Line | 409 E WAYNE ST
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City | KENDALLVILLE
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State | IN
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Zip | 46755-1459
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Country | US
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Telephone | 260-347-2854
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Fax | 260-347-3863
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Provider Business Mailing Address
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Address Line | 409 E WAYNE ST
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City | KENDALLVILLE
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State | IN
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Zip | 46755-1459
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Country | US
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Telephone | 260-347-2854
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Fax | 260-347-3863
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Authorized Official
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Title or Position | MD
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Name | MR. DON F STALLMAN
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Credential | MD
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Telephone | 260-347-2854
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 01027870
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 01027870
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License Number State | IN
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