| NPI | 1487301990 |
|---|---|
| Former Name | ANDREW STUECKROTH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: MD R248545) |
| Additional Taxonomies | 208D00000X General Practice (Licence: DC RN500020236) |
| Enumeration Date | 2022-03-04 |
| Last Update Date | 2025-09-30 |