Individual
MRS. MELISSA ANN STASKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8935
Mailing address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8935
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11012-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60760
DEAN HEALTH INSURANCE
WI
Enumeration date
07/03/2008
Last updated
07/27/2012
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