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Individual

DEREK STANZEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
7672 ESTES RD, FORT RILEY, KS 66442-5778
(785) 240-6840
Mailing address
4125 ROCKENHAM CIR, SAINT GEORGE, KS 66535-9696

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
102785
KS

Other

Enumeration date
11/16/2020
Last updated
11/16/2020
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