STANFORD T ISRAELSEN

GILLETTE, WY
NPI1093961179
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: WY  9750A)
Enumeration Date2008-08-08
Last Update Date2014-08-13
Business Address
-- STANFORD T ISRAELSEN MD
508 STOCKTRAIL AVE SUITE A
GILLETTE, WY 82716-3582
Phone number: 307-686-1413
Mailing Address
-- STANFORD T ISRAELSEN MD
508 STOCKTRAIL AVE SUITE A
GILLETTE, WY 82716-3582
Phone number: 307-686-1413
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