Individual
EMMALINE S STAECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6520 SE 14TH ST, DES MOINES, IA 50320-1846
(515) 256-4242
Mailing address
335 MARKET ST, CARLISLE, IA 50047-9327
(515) 418-3886
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/24/2020
Last updated
06/12/2024
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