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1073533402
MARY JO STASTNY
APPLETON, WI
NPI
1073533402
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WI 27088)
Enumeration Date
2006-07-20
Last Update Date
2007-07-08
Business Address
-- MARY JO STASTNY MD
10 TRI PARK WAY
APPLETON, WI 54914-1658
Phone number: 920-831-7919
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Mailing Address
-- MARY JO STASTNY MD
10 TRI PARK WAY
APPLETON, WI 54914-1658
Phone number: 920-831-7919
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