Individual provider · Type 1 NPI

Nathan M. Stadem

Student in an Organized Health Care Education/Training Program · Indianapolis, IN

NPI number 1619770484 Active

Practice location

350 W 14th St
Indianapolis, IN 46202-2369

Call (317) 274-0267 Map

Mailing address

25248 475th Ave
Baltic, SD 57003-5944

Other practice locations

  • 25248 475th Ave, Baltic, SD 57003-5944 · (605) 610-7559

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1619770484

Nathan M. Stadem's National Provider Identifier is 1619770484, issued on Mar 28, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Indianapolis, IN. The record was last updated on May 14, 2026.