Michael F. Stauder O.D.

NPI 1053462739 - Optometrist - 152W00000X

NPI Details
NPI 1053462739
Gender Male
Enumeration Date 01/16/2007
Last Updated 07/15/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
2980 N MAIN ST
SUITE 1
DECATUR IL, 62526-3291, US
Phone (217) 872-7200
Fax (217) 872-0920
Business Location
2980 N MAIN ST
SUITE 1
DECATUR IL, 62526-3291, US
Phone (217) 872-7200
Fax (217) 872-0920
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number 046007191
Remove 1053462739 NPI Number
 

According to our database, Dr. Michael F. Stauder O.D. NPI is 1053462739, taxonomy code is 152W00000X and license number is 046007191, license state is located at Illinois. Michael F. Stauder O.D. physically located at 2980 N Main St, Decatur IL, 62526-3291. NPI Number Michael F. Stauder O.D. has the Individual type.

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1053462739 NPI number is provided on an as is basis without warranty of any kind. 1053462739 is maintained by the National Plan & Provider Enumeration System. The contents of Michael F. Stauder O.D. are for informational purposes only.