Organization Name: | ANN E STANGER MD LLC |
NPI Number: | 1932359882 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANN E STANGER (OWNER) |
Mailing Address: | 2984 Triverton Pike Dr Fitchburg |
State: | WI US |
Postal Code: | 537115841 |
Phone Number: | 6082332378 |
Fax Number: | 6082332375 |
NPI Enumeration Date: | 09/29/2008 |
NPI Last Update Date: | 04/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 31332 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |