Search › Illinois › 152W00000X
Michael Stauder, O.D
NPI 1053462739 · on the registry since 2007 · sole proprietor
Practice
- Address
- 2980 N Main St
Suite 1
Decatur, IL 62526 - Phone
- (217) 872-7200
- Fax
- (217) 872-0920
- Organisation at this address
- Springboard Pediatrics Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-06-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois