Individual
DR. RICHARD A STAUDACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, CARDIOLOGY, MILWAUKEE, WI 53226-3522
(414) 955-6777
(414) 955-6203
Mailing address
9200 W WISCONSIN AVE, CARDIOLOGY, MILWAUKEE, WI 53226-3522
(414) 955-6777
(414) 955-6203
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
31083-20
WI
207RI0011X
Interventional Cardiology Physician
Primary
31083-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851360275
—
WI
05
—
31599000
—
WI
Enumeration date
03/16/2006
Last updated
03/27/2019
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