Individual
MR. STEVEN MICHAEL STAAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, PES-NASM
Contact information
Practice address
100 N EAST AVE, VAN MALE TRAINING ROOM, WAUKESHA, WI 53186-3103
(262) 524-7379
(262) 524-7376
Mailing address
2012 CLIFF ALEX CT S UNIT D, WAUKESHA, WI 53189-2127
(262) 391-9495
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
631-039
WI
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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