MEDICARE: TIMOTHY J. STUTZMAN MD

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	207Q00000X	Family Medicine Physician	10988	MT

General Provider Information

NPI Number	:	1538104195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY J. STUTZMAN MD

Provider Business Mailing Address
First Line	:	70 VILLAGE LOOP RD
Second Line	:
City	:	KALISPELL
State	:	MT
Zip	:	59901-2793
Country	:	US
Telephone Number	:	406-752-8877
Fax Number	:	406-756-3245

Provider Business Practice Location Address
First Line	:	70 VILLAGE LOOP RD
Second Line	:
City	:	KALISPELL
State	:	MT
Zip	:	59901-2793
Country	:	US
Telephone Number	:	406-752-8877
Fax Number	:	406-756-3245

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

Provider Enumeration Date	:	06/18/2006
Last Update Date	:	11/27/2023

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