Individual
DR. AMANDA CHARITY SOMMERFELDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 364-3600
(920) 364-3900
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 364-3600
(920) 364-3900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
29167
SC
207Q00000X
Family Medicine Physician
38512
IA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
54768
WI
Other
Enumeration date
08/23/2007
Last updated
09/30/2024
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