Stader, Andrew Edwin

Stader, Andrew Edwin is an individual health care provider with primary practice located at 1450 Eastside Rd , Platteville WI 53818-9800. He recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Stader, Andrew Edwin can be contacted via phone (608) 348-4330.

Contact Information

Primary practice address
1450 Eastside Rd Platteville WI 53818-9800
Phone: (608) 348-4330
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 1035546 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4031-23 Wisconsin

Profile Details

NPI number 1639431935
LBN Legal business name Stader, Andrew Edwin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2012
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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