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Individual
KARL S STUTELBERG
Active
Individual
KARL S STUTELBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 33857
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506547
—
NV
01
—
WPT33857A
MEDICARE PTAN
CA
Enumeration date
05/20/2006
Last updated
02/11/2020
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