Organization
STAUDACHER CARDIOLOGY SERVICES, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD STAUDACHER M.D. (DIRECTOR)
(262) 227-6589
Entity
Organization
Contact information
Practice address
721 AMERICAN AVE, SUITE 411, WAUKESHA, WI 53188-5071
(262) 896-4608
(262) 896-4643
Mailing address
721 AMERICAN AVE, SUITE 411, WAUKESHA, WI 53188-5071
(262) 896-4608
(262) 896-4643
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
31083-20
WI
207RI0011X
Interventional Cardiology Physician
Primary
31083-20
WI
Other
Enumeration date
06/10/2011
Last updated
06/14/2011
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