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Contact Information

SHELLY M STASKA, MD
101 WILLMAR AVE SW
WILLMAR, MN56201
 Phone: 320-231-5000
 Fax: 320-231-5026
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for SHELLY M STASKA · (Female)

NPI # 1114097136
Status Active
Credentials MD
Entity Individual
Enumeration date 11/08/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 46869
Hospital affiliation(s)
  • REDWOOD AREA HOSPITAL - (Critical Access)
    100 FALLWOOD ROAD
    REDWOOD FALLS, MN 56283
  • RICE MEMORIAL HOSPITAL - (Acute Care)
    301 BECKER AVE SW
    WILLMAR, MN 56201
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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