Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Jo Stastny, MD

Individual provider Internal Medicine Physician · NPI 1073533402

Mary Jo Stastny, MD is an Internal Medicine Physician in Appleton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

10 Tri Park Way
Appleton, WI 54914-1658
Phone: (920) 831-7919
Fax: (920) 831-7939
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 27088 (WI)

Record details

NPI number1073533402
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 20, 2006
Last updated in NPPESJuly 8, 2007

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