DR. TIMOTHY STAACKE, M.D.
Pain Medicine - Interventional Pain Medicine
Active
Individual
NPI: 1457335523
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Anesthesiology | 207L00000X | No | 39495-020 (WI) |
| Anesthesiology - Pain Medicine | 207LP2900X | No | 39495 (WI) |
| Pain Medicine - Interventional Pain Medicine | 208VP0014X | Yes | 39495 (WI) |
Frequently Asked Questions
NPI 1457335523 is the National Provider Identifier for DR. TIMOTHY STAACKE, M.D., a Pain Medicine - Interventional Pain Medicine provider located in Kenosha, WI. This NPI was enumerated on December 2, 2005.
DR. TIMOTHY STAACKE, M.D. practices at 10400 75TH ST, Kenosha, WI 53142.
Quick Facts
- NPI
- 1457335523
- Type
- Individual
- Enumerated
- Dec 2, 2005
- Last Updated
- Jun 29, 2022
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