Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 62431 | WI |
N | 111NI0900X | Internist | 62431 | WI |
Y | 207RH0002X | Hospice and Palliative Medicine | 62431 | WI |
NPI | 1013283936 |
---|---|
Provider Name | Karen Lynn Stammer |
First Address | Madison, WI 53715-1507 |
Second Address | Madison, WI 53715-1507 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2012 |
Last Update Date | 08/03/2017 |