person
Dr. Nicholas Wade Stull, DO
Emergency Medicine Physician in Waterloo, Iowa
NPI 1811384704

Nicholas Wade Stull is a Emergency Medicine Physician based in Waterloo, IA. Nicholas Wade Stull practices in Waterloo, IA and has the professional credentials of DO. The NPI Number for Nicholas Wade Stull is 1811384704 and holds a License No. 5101021742 (Iowa).

The current practice location address for Nicholas Wade Stull is 3421 W 9Th St, Waterloo, IA and can be reached out via phone at 319-272-8000 and via fax at 319-272-7313.

Location: 3421 W 9Th St, Waterloo, IA, 50702-5401
person
Provider Profile Details
NPI Number
1811384704
Provider Name
Nicholas Wade Stull
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3421 W 9Th St, Waterloo, IA, 50702-5401
Phone Number
319-272-8000
Fax Number
319-272-7313
Provider Enumeration Date
04/19/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5315070508 01 MI CONTROLLED SUBSTANCE LICENSE
institution
Provider Business Practice Location Address Details
Address
3421 W 9Th St
City
State
Zip
50702-5401
Phone Number
319-272-8000
Fax Number
319-272-7313
person
Provider Business Mailing Address Details
Address
3421 W 9Th St
City
State
Zip
50702-5401
Phone Number
319-272-8000
Fax Number
319-272-7313
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
License No.
5101021742 (Michigan)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
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