Individual
MRS. MARY ANN STAUBER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2000 SPRING RD, STE 200, OAK BROOK, IL 60523-1804
(630) 472-8810
Mailing address
16725 PEPPER LN, BROOKFIELD, WI 53005-6843
(262) 785-1866
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4397-7400
—
WI
Enumeration date
07/26/2005
Last updated
07/08/2007
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