STANFORD ISRAELSEN, MD

Orthopaedic Surgery

Active Individual
NPI: 1093961179

Practice Address

508 STOCKTRAIL AVE
SUITE A
Gillette, WY 82716

Phone: (307) 686-1413

Specialties

Specialty Code Primary License
Orthopaedic Surgery 207X00000X Yes 9750A (WY)

Frequently Asked Questions

NPI 1093961179 is the National Provider Identifier for STANFORD ISRAELSEN, MD, a Orthopaedic Surgery provider located in Gillette, WY. This NPI was enumerated on August 8, 2008.
STANFORD ISRAELSEN, MD practices at 508 STOCKTRAIL AVE, SUITE A, Gillette, WY 82716.

Quick Facts

NPI
1093961179
Type
Individual
Enumerated
Aug 8, 2008
Last Updated
Aug 13, 2014

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