| Charles Royden Staubs, LLC | |
|
850 Naugart Dr Merrill WI 54452-9148 | |
| (715) 409-0121 | |
| Not Available |
| Full Name | Charles Royden Staubs, LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 850 Naugart Dr, Merrill, Wisconsin |
| Authorized Official Name and Position | Charles Staubs (PHYSICIAN OWNER) |
| Authorized Official Contact | 7154090121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Royden Staubs, LLC 850 Naugart Dr Merrill WI 54452-9148 Ph: (715) 409-0121 | Charles Royden Staubs, LLC 850 Naugart Dr Merrill WI 54452-9148 Ph: (715) 409-0121 |
| NPI Number | 1316918345 |
|---|---|
| Provider Enumeration Date | 01/28/2006 |
| Last Update Date | 05/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316918345 | NPI | - | NPPES |
| 045951800 | Medicaid | MD | |
| T843 | Other | MD | CAREFIRST BC BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H42911 (Maryland) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | 50267-21 (Wisconsin) | Primary |
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North Central Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 607 N Sales St Ste 309, Merrill, WI 54452 Phone: 715-536-9482 Fax: 715-539-2972 |