Individual
DANIEL J STADDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 CHURCH ST, STOUGHTON, WI 53589-1801
(608) 877-2777
(608) 877-2726
Mailing address
225 CHURCH ST, STOUGHTON, WI 53589-1801
(608) 877-2777
(608) 877-2726
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40820-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063467652
—
WI
Enumeration date
05/23/2006
Last updated
12/12/2020
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