Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL B STULL, IDMT
ActiveMR. MICHAEL B STULL, IDMT is a Independent Duty Medical Technician healthcare provider located in PORTALES, New Mexico. NPI 1952630642 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Medical Technician · PORTALES, NM
Registration Details
- NPI Number
- 1952630642
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 9, 2009 (16.653464037856 yrs)
- Last Updated
- Aug 19, 2010
Practice Information
- Address
-
904 S DALLAS AVE APT 3PORTALES, NM, 881306028Browse NM providers · Browse ZIP 88130
- Phone
- 5757840287
- Primary Specialty
-
Independent Duty Medical Technician
1710I1003X
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.