Provider Demographics
NPI:1578566873
Name:STADLER, FRANZ J (MD)
Entity Type:Individual
Prefix:
First Name:FRANZ
Middle Name:J
Last Name:STADLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:FRANZ
Other - Middle Name:J
Other - Last Name:STADLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3950 G.S.RICHARDS BLVD.
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89703-8457
Mailing Address - Country:US
Mailing Address - Phone:775-324-0699
Mailing Address - Fax:775-888-8067
Practice Address - Street 1:640 W MOANA LN
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-4997
Practice Address - Country:US
Practice Address - Phone:775-324-0699
Practice Address - Fax:775-888-8067
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2012-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV9110207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVF46159Medicare UPIN
NV36705Medicare ID - Type Unspecified