Provider Demographics
NPI:1053106419
Name:STELZER, MATILDA (MBBS, DCH, MPH)
Entity type:Individual
Prefix:
First Name:MATILDA
Middle Name:
Last Name:STELZER
Suffix:
Gender:
Credentials:MBBS, DCH, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 W 10TH ST STE 1001
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-3011
Mailing Address - Country:US
Mailing Address - Phone:408-483-3659
Mailing Address - Fax:
Practice Address - Street 1:410 W 10TH ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-3010
Practice Address - Country:US
Practice Address - Phone:317-944-8812
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-14
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program