Individual
DR. KATIE MICHELLE STAPLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
OSF ST FRANCIS MEDICAL CENTER 530 NE GLEN OAK AVENUE, PEORIA, IL 61637-0001
(309) 655-2274
Mailing address
3306 BRITTANY CIR, BLOOMINGTON, IL 61704-8365
(309) 242-1112
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
125.076594
IL
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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