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Individual
DR. ANDREW STADLER
Active
Individual
DR. ANDREW STADLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6208
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1448295
UNITED CONCORDIA
—
05
—
47083467700
—
NE
01
—
6248
BCBS-NEBRASKA
NE
01
—
76002976
BCBS ALABAMA
AL
01
—
Z87045
BCBS- MASSACHU
MA
Enumeration date
07/28/2011
Last updated
07/28/2011
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