Individual
BRADLEY WAYNE STELFLUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7 MEADOWS SHOPPING CTR, TERRE HAUTE, IN 47803-2373
(812) 237-0211
Mailing address
3790 N STATE ROAD 63, WEST TERRE HAUTE, IN 47885-8407
(812) 237-0211
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28159112A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200484110
—
IN
Enumeration date
07/13/2005
Last updated
05/27/2010
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