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

Scott William Stauder, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1710447701

Scott William Stauder, MD is a Family Practice in New Berlin, Wisconsin. Graduated from Medical College of Wisconsin in 2019, 7 years ago. Practices with Prohealth Medical Group Inc, a 472-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
7
Trained at
Medical College of Wisconsin
Licensed in
WI
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

New Berlin, WI

Additional practice locations (1)

  • 1121 E. North Ave., Milwaukee, WI 53212 — (414) 267-6502

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 75095 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (WI)

Record details

NPI number1710447701
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2019
Last updated in NPPESMarch 17, 2025
Certification dateMarch 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2019 (7 years in practice)
Group practice Prohealth Medical Group Inc — 472 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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