Individual
DR. MARK D STANNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2651 HILLCREST DRIVE, HUDSON, WI 54016-4439
(715) 531-6800
(715) 531-6801
Mailing address
2651 HILLCREST DRIVE, SUITE 303, HUDSON, WI 54016-7899
(715) 531-6800
(715) 531-6801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39942
WI
207Q00000X
Family Medicine Physician
42574
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32437900
—
WI
Enumeration date
02/02/2006
Last updated
05/31/2023
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