Individual
CAROL DIANE STODOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1040 DIVISION ST, MAUSTON, WI 53948-1931
(608) 847-5000
Mailing address
1040 DIVISION ST, MAUSTON, WI 53948-1931
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30529100
—
WI
Enumeration date
10/28/2005
Last updated
07/08/2007
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