NPI 1205983012

Jordan W Stuckey, MD

Practitioner Anesthesiology Physician Defiance, OH

Practice location

Address: 1200 Ralston Ave Department of Surgery, Defiance, OH 43512-1396
Phone: (419) 783-6944
Fax: (419) 783-4416

Registered specialties

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 35094500 (OH)

Other Anesthesiology providers in Ohio →

Registry record

NPI: 1205983012
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Jan 2007
Record last updated: 3 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.