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Individual

DR. JEREMY JAMES STALLBAUMER

Active
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Individual

DR. JEREMY JAMES STALLBAUMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2010010946
MO
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
04-35526
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200974790B
KS
Enumeration date
05/02/2007
Last updated
12/30/2013
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