Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0106X | Orthopaedic Hand Surgeon | 34006833S | OH |
Y | 2086S0105X | Surgery of the Hand | 34.006638 | OH |
NPI | 1720062888 |
---|---|
Provider Name | Dr. Desmond J Stutzman |
First Address | Westerville, OH 43081-1397 |
Second Address | Columbus, OH 43212-3129 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2005 |
Last Update Date | 05/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2297296 | (05) | OH |
H52646 | (02) | OH |