Provider Demographics
NPI:1720814692
Name:STEMULIS ORTHOBIOLOGICS LLC
Entity type:Organization
Organization Name:STEMULIS ORTHOBIOLOGICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:WHETSTONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-994-9300
Mailing Address - Street 1:11340 NALL AVE STE 200A
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-2485
Mailing Address - Country:US
Mailing Address - Phone:816-994-9300
Mailing Address - Fax:816-994-9303
Practice Address - Street 1:11340 NALL AVE STE 200A
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-2485
Practice Address - Country:US
Practice Address - Phone:816-994-9300
Practice Address - Fax:816-994-9303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports MedicineGroup - Single Specialty