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Individual

DR. ANDREW STADLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
2457 33RD AVE, COLUMBUS, NE 68601-1309
(402) 564-4093
(402) 564-4086
Mailing address
PO BOX 1667, COLUMBUS, NE 68602-1667
(402) 564-4093
(402) 564-4086

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6208
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1448295
UNITED CONCORDIA
05
47083467700
NE
01
6248
BCBS-NEBRASKA
NE
01
76002976
BCBS ALABAMA
AL
01
Z87045
BCBS- MASSACHU
MA
Enumeration date
07/28/2011
Last updated
07/28/2011
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