Mary Jo Stastny, MD

NPI #1073533402 in Appleton, Wisconsin

Provider Information

NPI Number: 1073533402
Entity Type: Individual
Name: Mary Jo Stastny, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jul 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 10 TRI PARK WAY
City: Appleton
State: Wisconsin
ZIP Code: 54914-1658
Phone: (920) 831-7919

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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