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Individual
ANNETTE Z STORMONT
Active
Individual
ANNETTE Z STORMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
27335
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003634
PHYSICIANS PLUS
—
01
—
10898
MEDICAID DEAN
—
01
—
16900226
MEDICARE PART B
—
01
—
30683700
HIRSP
—
05
—
30683700
—
WI
01
—
39080850939
UNITY
—
01
—
90002361
WEA INS
—
Enumeration date
09/12/2006
Last updated
07/08/2007
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