NPI 1114097136

Shelly M Staska, MD

Practitioner Family Medicine Physician Willmar, MN

Practice location

Address: 101 Willmar Ave SW, Willmar, MN 56201
Phone: (320) 231-5000
Fax: (320) 231-5026

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 46869 (MN)

Other Family Medicine providers in Minnesota →

Registry record

NPI: 1114097136
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Nov 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.