MR. STANLEY BRENT STUTZMAN


Address: 301 12 Place Nw, Austin, MN 55912
Phone: 5074376927

MR. STANLEY BRENT STUTZMAN (NPI# 1972777068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972777068
Entity Type Individual
Full Name MR. STANLEY BRENT STUTZMAN
Credential MA,LP
Practice Address 301 12 Place Nw
Austin
MN 55912
Mailing Address Po Box 308
Postville
IA 52162-0308
Practice Telephone 5074376927
Practice Fax Number 5074376927
Mailing Telephone 5638647122
Mailing Fax Number 5638647123
Enumeration Date 2008-04-18
Last Update Date 2008-04-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TF0000X Psychologist
Specialization: Family
LP3301 MN Behavioral Health & Social Service Providers

Office Location

Street Address 301 12 PLACE NW
City AUSTIN
State MN
Zip Code 55912

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1841844396 Heather A Peterson Social Worker 101 21st Street Se, Austin, MN 55912 2019-08-01
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1821518739 Steven Register Specialist/Technologist 1803 2nd Ave Sw, Austin, MN 55912 2017-06-21
1366849259 Kristen Ashley Templeton Dentist 800 1st Avenue Sw, Austin, MN 55912 2014-11-20
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1780923458 Kurt Baumgartner Hearing Instrument Specialist 507 1 St Nw, Austin, MN 55912 2013-01-31
1396059242 Lorna Kay Siefke-harbor Psychologist 902 19th Ave Sw, Austin, MN 55912 2010-08-03
1669641130 Charlotte A Yunker Specialist/Technologist 64291 218th St, Austin, MN 55912 2008-02-28
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Taxonomy Information

Taxonomy Code 103TF0000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Family

Taxonomy Definition

Definition to come...

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1093221129 Terri E Bly Psychologist 1150 Montreal Ave Ste 107, Saint Paul, MN 55116-2393 2017-12-27
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1427299023 Susan De Vries Psychologist 570 Asbury St, Suite 310, Saint Paul, MN 55104-1849 2009-03-12
1952579385 Sheila Thomas, M.a.l.p., Pllc Psychologist 821 Raymond Ave, Suite 270, Saint Paul, MN 55114-1503 2008-02-19
1730360207 Lisa Marie Johnson Psychologist 2550 University Ave W, Suite 310n, Saint Paul, MN 55114-1052 2007-11-26
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Competitor

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City AUSTIN
Zip Code 55912

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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