Individual
LINDA ANNE STALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 LONDON AVE, MARYSVILLE, OH 43040-5512
(937) 578-2020
(937) 578-2019
Mailing address
500 LONDON AVE, MARYSVILLE, OH 43040-5512
(937) 578-2020
(937) 578-2019
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35.099484
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0066853
—
OH
Enumeration date
07/03/2008
Last updated
05/27/2022
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