Provider Demographics
NPI:1881863108
Name:STAHLSCHMIDT, JOHN M (MEDICAL SPECIALIST)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:M
Last Name:STAHLSCHMIDT
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Gender:M
Credentials:MEDICAL SPECIALIST
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Mailing Address - Street 1:BLDG 301 ANDREWS AVE
Mailing Address - Street 2:LYSTER ARMY HEATH CLINIC
Mailing Address - City:FORT RUCKER
Mailing Address - State:AL
Mailing Address - Zip Code:36362-5333
Mailing Address - Country:US
Mailing Address - Phone:334-255-7520
Mailing Address - Fax:334-255-7368
Practice Address - Street 1:BLDG 301 ANDREWS AVE
Practice Address - Street 2:LYSTER ARMY HEATH CLINIC
Practice Address - City:FORT RUCKER
Practice Address - State:AL
Practice Address - Zip Code:36362-5333
Practice Address - Country:US
Practice Address - Phone:334-255-7520
Practice Address - Fax:334-255-7368
Is Sole Proprietor?:No
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider