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Contact Information

STANFORD B TRACHTENBERG, MD
3680 LAKE CREEK DRIVE
WILSON, WY83014
 Phone: 307-733-3642
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for STANFORD B TRACHTENBERG · (Male)

NPI # 1619287414
Status Active
Credentials MD
Entity Individual
Enumeration date 10/14/2010
Last updated 10/14/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • WY License # 5033A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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