Provider Demographics
NPI:1063015238
Name:STEGMAN, CURTIS
Entity Type:Individual
Prefix:
First Name:CURTIS
Middle Name:
Last Name:STEGMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10329 COUNTY RD 2
Mailing Address - Street 2:
Mailing Address - City:NECHE
Mailing Address - State:ND
Mailing Address - Zip Code:58265
Mailing Address - Country:US
Mailing Address - Phone:701-520-3581
Mailing Address - Fax:
Practice Address - Street 1:10329 COUNTY RD 2
Practice Address - Street 2:
Practice Address - City:NECHE
Practice Address - State:ND
Practice Address - Zip Code:58265
Practice Address - Country:US
Practice Address - Phone:701-520-3581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-19
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant