Individual
ERIC B. STIEFEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
NORTH CAROLINA BAPTIST HOSPITAL, MEDICAL CENTER BLVD., WINSTON SALEM, NC 27157-0001
(336) 716-3069
Mailing address
124 BROOKS EDGE DR, WINSTON SALEM, NC 27107-1949
(336) 253-9047
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
122913
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050997
—
NC
Enumeration date
12/01/2005
Last updated
09/04/2007
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