Individual
MICHAEL STAUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DVM
Contact information
Practice address
3263 S 3RD PL, TERRE HAUTE, IN 47802-3765
(812) 234-7752
Mailing address
3263 S 3RD PL, TERRE HAUTE, IN 47802-3765
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4799
IN
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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