Basic Information
Provider Information
NPI: 1578566873
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STADLER
FirstName: FRANZ
MiddleName: J
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: STADLER
OtherFirstName: FRANZ
OtherMiddleName: J
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: MD
OtherLastNameType: 2
Mailing Information
Address1: 3950 G.S.RICHARDS BLVD.
Address2:  
City: CARSON CITY
State: NV
PostalCode: 897038457
CountryCode: US
TelephoneNumber: 7753240699
FaxNumber: 7758888067
Practice Location
Address1: 640 W MOANA LN
Address2:  
City: RENO
State: NV
PostalCode: 895094997
CountryCode: US
TelephoneNumber: 7753240699
FaxNumber: 7758888067
Other Information
ProviderEnumerationDate: 05/31/2005
LastUpdateDate: 05/17/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207N00000X9110NVY Allopathic & Osteopathic PhysiciansDermatology 

No ID Information.


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