Individual
NATHAN M STADEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 W 14TH ST, INDIANAPOLIS, IN 46202-2369
(317) 274-0267
Mailing address
25248 475TH AVE, BALTIC, SD 57003-5944
(605) 610-7559
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2025
Last updated
05/14/2026
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