National Provider Identifier

Shane Michael Stadtmueller, DC, MS, ATC

Shane Michael Stadtmueller, DC, MS, ATC is listed in the NPPES registry with a primary specialty of Sports Physician Chiropractor in Williamsville, NY and a listed phone number of (716) 634-2587.

NPI 1902376536Williamsville, NYSports Physician Chiropractor

Profile Overview

NPI
1902376536
Provider Type
Individual
Primary Specialty
Sports Physician Chiropractor
Enumeration Date
November 27, 2018
Last Updated
November 27, 2018

Practice Location

  • 5820 Main St. Suite 201
  • Williamsville, NY 14221

Phone: (716) 634-2587

Specialties

  • Sports Physician Chiropractor (111NS0005X)
  • Chiropractor (111N00000X)
  • Occupational Health Chiropractor (111NX0100X)
  • Rehabilitation Chiropractor (111NR0400X)
Full Record
NPI
1902376536
Entity Type
Individual
Last Name
Stadtmueller
First Name
Shane
Middle Name
Michael
Name Prefix
Dr.
Credential
DC, MS, ATC
Mailing Street Address
5820 Main St. Suite 201
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221
Mailing Country
US
Mailing Phone
(716) 634-2587
Practice Street Address
5820 Main St. Suite 201
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221
Practice Country
US
Practice Phone
(716) 634-2587
Enumeration Date
November 27, 2018
Last Updated
November 27, 2018
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Sports Physician Chiropractor (111NS0005X), Chiropractor (111N00000X), Occupational Health Chiropractor (111NX0100X), Rehabilitation Chiropractor (111NR0400X)