Individual
JULIA E STAISCH
Active
Individual
JULIA E STAISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125061651
IL
2084N0400X
Neurology Physician
125061651
IL
2084N0400X
Neurology Physician
Primary
308811
LA
2084N0400X
Neurology Physician
MD176725
OR
Other
Enumeration date
07/09/2012
Last updated
08/17/2018
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