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Paul Stauder
NPI 1750479457 · on the registry since 2006 · sole proprietor
Practice
- Address
- 101 E Delaware St
Suite C
Fairfield, IL 62837 - Phone
- (618) 842-6516
- Organisation at this address
- Paul B Stauder
Inferred from a shared address, not stated in the registry.
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
- 2009-02-20
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