Individual
CYNTHIA M. STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
(608) 283-7193
Mailing address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
(608) 283-7193
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
47323
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740239425
—
WI
Enumeration date
05/09/2006
Last updated
12/12/2020
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