Individual
JEFFERY W EDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
497 W LOTT ST, BUFFALO, WY 82834-1658
(307) 684-5521
(307) 684-5385
Mailing address
553 N PINNACLE DR, BUFFALO, WY 82834-1416
(307) 684-7817
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
129337
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43403300
—
WI
Enumeration date
06/15/2005
Last updated
06/03/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us