Individual
MR. SHERMAN CHRISTIAN STAUFFER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
121 E BAKER ST, INDIANOLA, MS 38751-2450
(662) 887-5235
Mailing address
3259 TRACER LN, MEMPHIS, TN 38119-9046
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
227374
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
901913
MS
Other
Enumeration date
04/29/2024
Last updated
06/06/2024
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