Individual
DR. MINDY BETH STATTER
Active
Individual
DR. MINDY BETH STATTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
036069526
IL
2086S0120X
Pediatric Surgery Physician
Primary
260567
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036069526
—
IL
Enumeration date
12/22/2006
Last updated
05/06/2011
Update your record
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