Individual
WILLIAM M STAUFFER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
516 DELAWARE STREET SE, DELAWARE STREET CLINIC, MINNEAPOLIS, MN 55455
(612) 884-0649
Mailing address
720 WASHINGTON AVE SE, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55414
(612) 884-0649
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
39434
MN
207RI0200X
Infectious Disease Physician
Primary
39434
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
246593100
—
MN
Enumeration date
02/28/2006
Last updated
11/01/2012
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