Stauder, Thomas J.

Stauder, Thomas J. is an individual health care provider with primary practice located at 1906 Powderhorn Pass Ct , Wildwood MO 63011-1717. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Allergy is his primary health care specialty. Stauder, Thomas J. can be contacted via phone (636) 458-4188.

Contact Information

Primary practice address
1906 Powderhorn Pass Ct Wildwood MO 63011-1717
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 105229 Missouri
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 105229 Missouri
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 105229 Missouri

Profile Details

NPI number 1679568570
LBN Legal business name Stauder, Thomas J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Nov 23rd, 2009 - about 16 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 1679568570 NPPES
Missouri MEDICAID 1679568570
Missouri Other 383495136
Missouri MEDICAID 208237339

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