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1114097136
SHELLY M STASKA
WILLMAR, MN
NPI
1114097136
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MN 46869)
Enumeration Date
2006-11-08
Last Update Date
2007-07-08
Business Address
-- SHELLY M STASKA MD
101 WILLMAR AVE SW
WILLMAR, MN 56201
Phone number: 320-231-5000
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Mailing Address
-- SHELLY M STASKA MD
101 WILLMAR AVE SW
WILLMAR, MN 56201
Phone number: 320-231-5079
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