Individual
ANDREAS MICHAEL STAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
110 LYNX LN, NORTH LIBERTY, IA 52317-9001
(319) 471-3369
Mailing address
110 LYNX LN, NORTH LIBERTY, IA 52317-9001
(319) 471-3369
Taxonomy
Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
Primary
117890
IA
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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