Individual
DR. MARY E STAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6046 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7616
(330) 433-1353
(330) 433-1560
Mailing address
6046 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7616
(330) 433-1353
(330) 433-1560
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35048595
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0625621
—
OH
Enumeration date
03/03/2006
Last updated
02/17/2012
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