Active NPI
Andrew Stuttgen, D.C.
- Chiropractor
- Wausau, WI
National Provider Identifier
1376918102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5141-12
- Practice address
- 100 N 72ND Ave
Suite 108
Wausau, WI 54401-9042 - Phone
- (715) 470-5671
- NPI assigned
- Dec 4, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5141-12 | WI | Primary |
Addresses
Primary practice location
100 N 72ND Ave
Suite 108
Wausau, WI 54401-9042
Mailing address
100 N 72ND Ave
Suite 108
Wausau, WI 54401-9042
Phone (715) 470-5671
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5141-12 | WI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492646400000",
"number": "1376918102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N 72ND AVE",
"address_2": "SUITE 108",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544019042",
"telephone_number": "715-470-5671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N 72ND AVE",
"address_2": "SUITE 108",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544019042",
"telephone_number": "715-470-5671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUTTGEN",
"first_name": "ANDREW",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-04",
"last_updated": "2017-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "5141-12",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wausau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.