Individual
RANDALL PAUL STANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
721 8TH ST SE, ORANGE CITY, IA 51041-7451
(712) 737-6824
(712) 737-6426
Mailing address
721 8TH ST SE, ORANGE CITY, IA 51041-7451
(712) 737-6824
(712) 737-6426
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
04789
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2183491
—
IA
01
—
4671
MIDLANDS
IA
Enumeration date
07/25/2006
Last updated
07/08/2007
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