Stoddard, Laura M
Stoddard, Laura M is an individual health care provider with primary practice located at 16985 W Bluemound Rd , Brookfield WI 53005-5909. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Stoddard, Laura M can be contacted via phone (262) 641-8400.Contact Information
Primary practice address
16985 W Bluemound Rd
Brookfield WI 53005-5909
Phone: (262) 641-8400
Fax: (262) 784-3804
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 75907 | Wisconsin |
Profile Details
| NPI number | 1740817808 |
|---|---|
| LBN Legal business name | Stoddard, Laura M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2020 |
| Last updated | Aug 3rd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740817808 | NPPES |
| Wisconsin | MEDICAID | 100180306 |
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