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Individual

EDWARD JOHN STENGEL JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
111 W 32ND ST, ERIE, PA 16508-2805
(412) 853-4454
Mailing address
68 S SERVICE RD STE 350, MELVILLE, NY 11747-2358
(516) 945-3107

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001271646
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024174880
VA

Other

Enumeration date
04/28/2017
Last updated
06/05/2017
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