Individual provider · Type 1 NPI
Lisa Deette Staber, MD
Family Medicine Physician · Grand Rapids, MN
NPI number
1629035308
Active
Practice location
20635 Mishawaka Shores Trl
Grand Rapids, MN 55744-6071
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301086765 (MI) |
| Family Medicine Physician | 207Q00000X | 38751-020 (WI) |
| Family Medicine Physician Primary | 207Q00000X | 38922 (MN) |
| Family Medicine Physician | 207Q00000X | 38751-20 (WI) |
Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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About NPI 1629035308
Lisa Deette Staber, MD's National Provider Identifier is 1629035308, issued on Apr 27, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Grand Rapids, MN. The record was last updated on May 9, 2017.