Staudacher, Richard A

Staudacher, Richard A is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Cardiology, Milwaukee WI 53226-3522. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Staudacher, Richard A can be contacted via phone (414) 955-6777.

Contact Information

Primary practice address
9200 W Wisconsin Ave Cardiology Milwaukee WI 53226-3522
Phone: (414) 955-6777
Fax: (414) 955-6203
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 31083-20 Wisconsin
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 31083-20 Wisconsin

Profile Details

NPI number 1851360275
LBN Legal business name Staudacher, Richard A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Mar 27th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851360275 NPPES
Wisconsin MEDICAID 1851360275
Wisconsin MEDICAID 31599000

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