Individual
PATRICK STAEDTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 755-1000
Mailing address
2912 HOEFER AVE, RAPID CITY, SD 57701-5849
(605) 390-5695
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CR000982
SD
Other
Enumeration date
04/13/2018
Last updated
04/13/2018
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