Zane Staubach
Zane Staubach is a Pathology in West Allis, Wisconsin. Graduated from University of Kentucky College of Medicine in 2015, 11 years ago. Practices with Great Lakes Pathologists SC, a 55-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and Wisconsin.
- Years since qualifying
- 11
- Trained at
- University of Kentucky College of Medicine
- Licensed in
- CO, WI
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
8901 W Lincoln AveWest Allis, WI 53227-2409
Phone: (414) 328-7950
Fax: (414) 328-8505
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 2222 N Nevada Ave, Colorado Springs, CO 80907-6819 — (719) 776-5816
Specialties & licences
| Anatomic Pathology & Clinical Pathology Physician (primary) | Taxonomy 207ZP0102X · Licence 73434-20 (WI) |
|---|---|
| Anatomic Pathology Physician | Taxonomy 207ZP0101X · Licence TL.0005888 (CO) |
Record details
| NPI number | 1720594104 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 20, 2017 |
| Last updated in NPPES | August 3, 2020 |
| Certification date | August 3, 2020 |
| Mailing address | 8901 W Lincoln Ave, West Allis, WI 53227-2409 |
Medicare enrollment
| Medicare specialty | PATHOLOGY |
|---|---|
| Medical school | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
| Graduated | 2015 (11 years in practice) |
| Group practice | Great Lakes Pathologists Sc — 55 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 11 on file with Medicare |