SearchMinnesota213E00000X

Nicholas Staub

NPI 1790274066 · on the registry since 2018

Practice

Address
6625 Lyndale Ave S Ste 105
Richfield, MN 55423
Phone
(612) 200-8029
Organisation at this address
3c Hansons
Stepping Stone Clinic, Llc
In House Senior Services, Llc
In House Senior Services, Llc
Capernaum Pediatric Therapy, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
63

Additional practice sites

  • 12303 De Paul Dr, Bridgeton, MO

Registry record

Primary taxonomy
213E00000X
213E00000X
Also registered as
390200000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-08-23

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 Minnesota