Individual
SCOTT WILLIAM STAUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13900 W NATIONAL AVE, NEW BERLIN, WI 53151-9515
(262) 928-4500
(262) 928-4550
Mailing address
W238N2341 TALON DR, WAUKESHA, WI 53188-1833
(651) 334-9880
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
75095
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
WI
Other
Enumeration date
03/25/2019
Last updated
03/17/2025
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