Search › Wisconsin › 183500000X
Kevin Staral
NPI 1275017584 · on the registry since 2018
Practice
- Address
- 11111 W Burleigh St
Wauwatosa, WI 53222 - Phone
- (414) 290-0910
- Organisation at this address
- Meijer Stores Limited Partnership
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-09-21
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 Wisconsin