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Individual

DR. SHANE MICHAEL STADTMUELLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC, MS, ATC

Contact information

Practice address
5820 MAIN ST. SUITE 201, WILLIAMSVILLE, NY 14221
(716) 634-2587
Mailing address
5820 MAIN ST. SUITE 201, WILLIAMSVILLE, NY 14221
(716) 634-2587

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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