Provider Demographics
NPI:1225016462
Name:STUEVE, WILLIAM G (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:G
Last Name:STUEVE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19401 E 39TH ST S
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64057-2308
Mailing Address - Country:US
Mailing Address - Phone:816-490-4277
Mailing Address - Fax:855-446-7160
Practice Address - Street 1:19401 E 39TH ST S
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64057-2308
Practice Address - Country:US
Practice Address - Phone:816-490-4277
Practice Address - Fax:855-446-7160
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-27502207Q00000X
MO116327207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H30113Medicare UPIN
101512Medicare ID - Type Unspecified