Individual
RYAN EDWARD STUPCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
900 E BROADWAY AVE, BISMARCK, ND 58501-4520
(701) 530-7000
Mailing address
2907 43RD AVE NE APT 208, BISMARCK, ND 58503-8097
(218) 341-0381
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R41447
ND
Other
Enumeration date
01/24/2021
Last updated
01/24/2021
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