Charles Royden Staubs, Llc | |
850 Naugart Dr Merrill WI 54452-9148 | |
(715) 409-0121 | |
Not Available |
Full Name | Charles Royden Staubs, Llc |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 850 Naugart Dr, Merrill, Wisconsin |
Authorized Official Name and Position | Charles Staubs (PHYSICIAN OWNER) |
Authorized Official Contact | 7154090121 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Charles Royden Staubs, Llc 850 Naugart Dr Merrill WI 54452-9148 Ph: (715) 409-0121 | Charles Royden Staubs, Llc 850 Naugart Dr Merrill WI 54452-9148 Ph: (715) 409-0121 |
NPI Number | 1316918345 |
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Provider Enumeration Date | 01/28/2006 |
Last Update Date | 05/09/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316918345 | NPI | - | NPPES |
045951800 | Medicaid | MD | |
T843 | Other | MD | CAREFIRST BC BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | H42911 (Maryland) | Secondary |
261QP2300X | Clinic/center - Primary Care | 50267-21 (Wisconsin) | Primary |
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