Individual
DR. MARIA O STANISLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
53695-021
WI
208000000X
Pediatrics Physician
Primary
53837
MN
Other
Enumeration date
01/19/2009
Last updated
11/14/2011
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