Individual
DR. SHANE MICHAEL STADTMUELLER
Active
Individual
DR. SHANE MICHAEL STADTMUELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC, MS, ATC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
013177
NY
111NR0400X
Rehabilitation Chiropractor
013177
NY
111NS0005X
Sports Physician Chiropractor
Primary
013177
NY
111NX0100X
Occupational Health Chiropractor
013177
NY
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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