Provider Demographics
NPI:1275549792
Name:STIEGLER, ROBERT W JR (DPM)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:W
Last Name:STIEGLER
Suffix:JR
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2424 FRANKFORD AVENUE
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405
Mailing Address - Country:US
Mailing Address - Phone:850-784-9787
Mailing Address - Fax:850-784-9619
Practice Address - Street 1:2424 FRANKFORD AVE
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405
Practice Address - Country:US
Practice Address - Phone:850-784-9787
Practice Address - Fax:850-784-9619
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO2218213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU20253Medicare UPIN
FL65295ZMedicare ID - Type Unspecified