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Lisa Staber, MD

NPI 1629035308 · on the registry since 2006 · sole proprietor

Practice

Address
20635 Mishawaka Shores Trl
Grand Rapids, MN 55744
Phone
(218) 398-0256

Registry record

Primary taxonomy
Family Medicine Physician
207Q00000X
Also registered as
Family Medicine Physician
Family Medicine Physician
Family Medicine Physician
Licence states on file
MI, WI, MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-05-09
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota