Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TIMOTHY S STAACKE, M.D.
ActiveDR. TIMOTHY S STAACKE, M.D. is a Interventional Vascular Surgery healthcare provider located in KENOSHA, Wisconsin. NPI 1457335523 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · KENOSHA, WI
Registration Details
- NPI Number
- 1457335523
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 2, 2005 (20.709062883405 yrs)
- Last Updated
- Jun 29, 2022
- Licenses
-
39495-020 (WI)39495 (WI)39495 (WI)
Practice Information
- Address
-
10400 75TH STKENOSHA, WI, 531427884Browse WI providers · Browse ZIP 53142
- Phone
- 2626977000
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Pain Medicine (Anesthesiology)
- Additional Specialty
- Interventional Vascular Surgery
Other Interventional Vascular Surgery Providers in KENOSHA, WI
| Name | Credential | NPI |
|---|---|---|
| HARDIK A VASHI | DO | 1225019243 |
| FARAZ AHMAD KHAN DAHA | MD | 1235545534 |
| ALEXANDRA LELCHUK | MD | 1336594910 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.