Individual provider · Type 1 NPI
Thomas J. Stauder, MD
Allergy Physician · Wildwood, MO
NPI number
1679568570
Active
Practice location
1906 Powderhorn Pass Ct
Wildwood, MO 63011-1717
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | 105229 (MO) |
| Allergy Physician Primary | 207KA0200X | 105229 (MO) |
| Emergency Medicine Physician | 207P00000X | 105229 (MO) |
Allergy Physician: A physician who specializes in the diagnosis, treatment, and management of allergies.
About NPI 1679568570
Thomas J. Stauder, MD's National Provider Identifier is 1679568570, issued on Sep 16, 2005. The primary taxonomy on file is Allergy Physician (207KA0200X), and the practice location is in Wildwood, MO. The record was last updated on Nov 23, 2009.