Provider Demographics
NPI:1811157563
Name:STAEDLER, MARGRIT (LIC AC)
Entity type:Individual
Prefix:
First Name:MARGRIT
Middle Name:
Last Name:STAEDLER
Suffix:
Gender:F
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4467 CLAY ST
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-3008
Mailing Address - Country:US
Mailing Address - Phone:303-530-3027
Mailing Address - Fax:
Practice Address - Street 1:4467 CLAY ST
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-3008
Practice Address - Country:US
Practice Address - Phone:303-530-3027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA577171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist