Provider Demographics
NPI:1194699801
Name:SCHUSTER, STEFAN (RDN)
Entity type:Individual
Prefix:
First Name:STEFAN
Middle Name:
Last Name:SCHUSTER
Suffix:
Gender:M
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 MANHATTAN PL APT 205
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-4062
Mailing Address - Country:US
Mailing Address - Phone:888-502-2069
Mailing Address - Fax:
Practice Address - Street 1:625 MANHATTAN PL APT 205
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-4062
Practice Address - Country:US
Practice Address - Phone:201-694-0242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-04
Last Update Date:2025-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered