Staysniak, Thomas G
Staysniak, Thomas G is an individual health care provider with primary practice located at 5200 Hummingbird Rd Ste 100, Wausau WI 54401-6312. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Staysniak, Thomas G can be contacted via phone (715) 359-6442.Contact Information
Primary practice address
5200 Hummingbird Rd Ste 100
Wausau WI 54401-6312
Phone: (715) 359-6442
Fax: (715) 393-0390
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 695 | Wisconsin |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 695 | Wisconsin |
Profile Details
| NPI number | 1346297900 |
|---|---|
| LBN Legal business name | Staysniak, Thomas G |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 28th, 2006 |
| Last updated | Mar 7th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346297900 | NPPES |
| Wisconsin | MEDICAID | 43219000 |
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