Individual
LAURA M STODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16985 W BLUEMOUND RD, BROOKFIELD, WI 53005-5909
(262) 641-8400
(262) 784-3804
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(262) 641-8400
(262) 784-3804
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
75907
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100180306
—
WI
Enumeration date
03/26/2020
Last updated
08/03/2023
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