Individual
BARRY JEAN STAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3111 GUNDERSEN DR, ONALASKA, WI 54650-8447
(608) 775-8100
Mailing address
1836 SOUTH AVENUE, LA CROSSE, WI 54601
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8503
WI
Other
Enumeration date
09/01/2018
Last updated
09/27/2018
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