MEDICARE: CHRISTOPHER MICHAEL STUTZ M.D.

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
1	207XP3100X	Pediatric Orthopaedic Surgery Physician	43894	TN
2	207XP3100X	Pediatric Orthopaedic Surgery Physician	Q2953	TX
3	207XS0106X	Orthopaedic Hand Surgery Physician	MD43894	TN
4	207XS0106X	Orthopaedic Hand Surgery Physician	Q2953	TX

General Provider Information

NPI Number	:	1407903297
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER MICHAEL STUTZ M.D.

Provider Business Mailing Address
First Line	:	2222 WELBORN ST
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75219-3924
Country	:	US
Telephone Number	:	214-559-5000
Fax Number	:	214-443-7309

Provider Business Practice Location Address
First Line	:	2222 WELBORN ST
Second Line	:	TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN
City	:	DALLAS
State	:	TX
Zip	:	75219-3993
Country	:	US
Telephone Number	:	214-559-5000
Fax Number	:	214-443-7309

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	03/25/2016

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