Staudinger, Diane L

Staudinger, Diane L is an individual health care provider with primary practice located at 3509 Dewey St , Manitowoc WI 54220. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Staudinger, Diane L can be contacted via phone (920) 686-5731.

Contact Information

Primary practice address
3509 Dewey St Manitowoc WI 54220
Fax: (920) 686-5726
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 33432 Wisconsin

Profile Details

NPI number 1326155532
LBN Legal business name Staudinger, Diane L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Mar 7th, 2023 - about 2 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 1326155532 NPPES
Wisconsin MEDICAID 32004900

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