# KAREN S STAACK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1831161587
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 21481 | NE | Yes |

## Other

- **Enumeration date:** 02/06/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0550095 | MEDIPASS | IA |
| 01 | — | 1831161587 | NPI | — |
| 01 | — | 21481 | LICENSE | NE |
| 05 | — | 470710146-13 | — | NE |