Individual
KATHRYN M. STAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2605 S ONEIDA ST STE 107, GREEN BAY, WI 54304-5331
(920) 432-0031
(920) 432-2260
Mailing address
2605 S ONEIDA ST STE 107, GREEN BAY, WI 54304-5331
(920) 432-0031
(920) 432-2260
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
148857
WI
176B00000X
Midwife
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61363
DEAN HEALTH INSURANCE
WI
Enumeration date
09/11/2009
Last updated
03/17/2018
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