Provider Demographics
NPI:1932359882
Name:ANN E STANGER MD LLC
Entity type:Organization
Organization Name:ANN E STANGER MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:E
Authorized Official - Last Name:STANGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:608-233-2378
Mailing Address - Street 1:2984 TRIVETON PIKE DRIVE
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53711-6428
Mailing Address - Country:US
Mailing Address - Phone:608-233-2378
Mailing Address - Fax:608-233-2375
Practice Address - Street 1:2984 TRIVERTON PIKE DR
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:WI
Practice Address - Zip Code:53711-5841
Practice Address - Country:US
Practice Address - Phone:608-233-2378
Practice Address - Fax:608-233-2375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-29
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI31332208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty