DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TRISTAN VAUN STONGER, M.D.

Active Sole Proprietor

DR. TRISTAN VAUN STONGER, M.D. is a Plastic Surgery within the Head & Neck healthcare provider located in PERU, Indiana. NPI 1134213796 is currently active in the NPPES registry. Verify at CMS.

Plastic Surgery within the Head & Neck · PERU, IN

Registration Details

NPI Number
1134213796
Provider Type
Individual
Gender
Male
NPI Issued
Oct 3, 2006 (19.873542753951 yrs)
Last Updated
Dec 31, 2014
Licenses
4581 (MT)
01031765A (IN)
4581 (MT)
01031765A (IN)
4581 (MT)
Sole Proprietor
Yes

Practice Information

Address
1 S BROADWAY
PERU, IN, 469702231
Browse IN providers · Browse ZIP 46970
Phone
7654325294
Fax
7654727700
Primary Specialty
Plastic Surgery within the Head & Neck
2082S0099X
Additional Specialty
Plastic Surgery
Additional Specialty
Plastic Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.