Provider Demographics
NPI:1992939953
Name:STAHMER, CHRISTOPHER HENRY (MD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:HENRY
Last Name:STAHMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 UNIVERSITY BAY DR
Mailing Address - Street 2:SUITE 310, MAIL CODE: 9123
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53705-2278
Mailing Address - Country:US
Mailing Address - Phone:715-977-1342
Mailing Address - Fax:
Practice Address - Street 1:800 UNIVERSITY BAY DR
Practice Address - Street 2:SUITE 310, MAIL CODE: 9123
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53705-2278
Practice Address - Country:US
Practice Address - Phone:715-977-1342
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-06
Last Update Date:2016-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY269651-1207P00000X
WI60842-20207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine