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MR. STANLEY KEITH CHAFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.N.

Contact information

Practice address
333 E CAMPUS MALL, MADISON, WI 53715-1365
(608) 262-0955
(608) 890-2856
Mailing address
333 E CAMPUS MALL, MADISON, WI 53715-1365
(608) 262-0955
(608) 890-2856

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
128222-30
WI

Other

Enumeration date
09/14/2010
Last updated
09/14/2010
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