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Individual
ZANE STAUBACH
Active
Individual
ZANE STAUBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
TL.0005888
CO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
73434-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73434-20
MEDICAL LICENSE
WI
Enumeration date
12/20/2017
Last updated
08/03/2020
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