Organization Name: | STELZER SURGERY, PC |
NPI Number: | 1104977867 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK E STELZER (PRESIDENT) |
Mailing Address: | 714 Lincoln St Ne Le Mars |
State: | IA US |
Postal Code: | 510313314 |
Phone Number: | 7125468744 |
Fax Number: | |
NPI Enumeration Date: | 01/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 22867 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |