Individual
MRS. EMILY JOSEPHINE STAUDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
750 UNIVERSITY ROW, MADISON, WI 53705-1311
(608) 890-5000
Mailing address
5330 BRODY DR, MADISON, WI 53705-1330
(712) 790-4821
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4054-23
WI
Other
Enumeration date
07/07/2017
Last updated
01/13/2021
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