Individual
LAURA GERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6001 RESEARCH PARK BLVD, MADISON, WI 53719-1176
(608) 232-3171
Mailing address
6001 RESEARCH PARK BLVD, MADISON, WI 53719-1176
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
060-0004780
VT
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
75520-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75520-20
WI MEDICAL LICENSE
WI
Enumeration date
03/20/2018
Last updated
10/02/2021
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