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Individual

DR. DIANE L STAUDINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3509 DEWEY ST, MANITOWOC, WI 54220
(920) 686-5731
(920) 686-5726
Mailing address
3509 DEWEY ST, MANITOWOC, WI 54220
(920) 686-5731
(920) 686-5726

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33432
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32004900
WI
Enumeration date
08/24/2006
Last updated
03/07/2023
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