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Individual

DR. RENEE A STAUFFACHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
3144 WILGUS AVE, SHEBOYGAN, WI 53081-3045
(920) 451-7077
(920) 451-1400
Mailing address
3144 WILGUS AVE, SHEBOYGAN, WI 53081-3045
(920) 451-7077
(920) 451-1400

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
0104556384
VA
111N00000X
Chiropractor
4357
WI
111N00000X
Chiropractor
Primary
AJ009579
PA
111N00000X
Chiropractor
DC009774
PA

Other

Enumeration date
04/04/2006
Last updated
03/02/2009
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