Jason Eric Staszko in Milwaukee - General Practice

Jason Eric Staszko - NPI 1770630253

Jason Eric Staszko is a General Practice in Milwaukee, Wisconsin. Jason Eric Staszko practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jason Eric Staszko is 1770630253. The last update date is 2011-07-07.

Jason Eric Staszko's current location address is 111 E Wisconsin Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4142906720 and fax number 4142906755. The mailing address for Jason Eric Staszko is 111 E Wisconsin Ave, Milwaukee, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Jason Eric Staszko
Address 111 E Wisconsin Ave, Milwaukee, Wisconsin
Phone Number 4142906720
Fax Number 4142906755
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1770630253
Provider Enumeration Date 2007-01-05
Last Updated Date 2011-07-07

Provider Mailing Address Detail

Address 111 E Wisconsin Ave
City Milwaukee
State Wisconsin (WI)
Post Code 532024815
Phone Number 4142906720
Fax Number 4142906755

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No 2005-01282
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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FAQs about Jason Eric Staszko

What is the unique 10-digit identifier code issued to Jason Eric Staszko by the Centers for Medicare & Medicaid Services?

The Jason Eric Staszko has been assigned the NPI (National Provider Identifier) 1770630253 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Jason Eric Staszko located?

The Jason Eric Staszko is located at 111 E Wisconsin Ave, Milwaukee, WI 532024815.

What is the Jason Eric Staszko's area of specialization and corresponding taxonomy classification?

The Jason Eric Staszko's specialty field is General Practice, and it falls under the taxonomy code 208D00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1770630253 to Jason Eric Staszko?

The Centers for Medicare & Medicaid Services originally issued the 1770630253 to Jason Eric Staszko on 2007-01-05.

When was the information related to Jason Eric Staszko most recently updated or refreshed?

The details pertaining to the Jason Eric Staszko, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-07-07.

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