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Search › Wisconsin › 208VP0014X

Timothy Staacke, M.D

NPI 1457335523 · on the registry since 2005

Practice

Address
10400 75th St
Kenosha, WI 53142
Phone
(262) 697-7000
Organisation at this address
Akza Llc
Mea-Aea Kenosha Sc
Aurora Pharmacy Inc
Aurora Medical Group, Inc.
Best Practices Inpatient Care,Ltd.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
236

Registry record

Primary taxonomy
208VP0014X
208VP0014X
Also registered as
207L00000X
207LP2900X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-06-29

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