Provider Demographics
NPI:1558495705
Name:STOERMER, CHRISTIAN H (MD)
Entity Type:Individual
Prefix:MR
First Name:CHRISTIAN
Middle Name:H
Last Name:STOERMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2110 E FLAMINGO RD
Mailing Address - Street 2:STE 102
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119
Mailing Address - Country:US
Mailing Address - Phone:702-796-6551
Mailing Address - Fax:702-796-7067
Practice Address - Street 1:2110 E FLAMINGO RD
Practice Address - Street 2:#102
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119
Practice Address - Country:US
Practice Address - Phone:702-796-6551
Practice Address - Fax:702-796-7067
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV4915207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00002003OtherRAILROAD MEDICARE
P00002003OtherRAILROAD MEDICARE
NVV37424Medicare ID - Type Unspecified