Individual
AARON STALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
146 E GENEVA SQ, LAKE GENEVA, WI 53147-9694
(262) 249-5000
(262) 249-7143
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(262) 249-5000
(262) 249-7143
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
56961
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100024311
—
WI
Enumeration date
05/01/2012
Last updated
12/07/2021
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