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1740342435
TIMOTHY STAUDACHER
ST CHARLES, IL
NPI
1740342435
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: IL 36084646)
Enumeration Date
2006-12-16
Last Update Date
2007-07-08
Business Address
Dr. TIMOTHY STAUDACHER M.D.
5N144 MAPLE CT
ST CHARLES, IL 60175-6259
Phone number: 630-208-3000
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Mailing Address
Dr. TIMOTHY STAUDACHER M.D.
255 W MICHIGAN AVE
JACKSON, MI 49201-2218
Phone number: 517-787-6440
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