Andrew Edwin Stader

NPI #1639431935 in Platteville, Wisconsin

Provider Information

NPI Number: 1639431935
Entity Type: Individual
Name: Andrew Edwin Stader
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Jun 12, 2012
Last Updated: Jul 21, 2022

Practice Location

Address: 1450 EASTSIDE RD
City: Platteville
State: Wisconsin
ZIP Code: 53818-9800
Phone: (608) 348-4330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X
Physician Assistant	363A00000X	Primary

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