Individual
SHAWN STADLBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4771 N SUMMIT WAY STE 110, MERIDIAN, ID 83646-5017
(208) 994-4747
Mailing address
4771 N SUMMIT WAY STE 110, MERIDIAN, ID 83646-5017
(208) 994-4747
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-2301
ID
Other
Enumeration date
09/26/2022
Last updated
10/23/2023
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