Individual
DR. VANESSA L STALLKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
830 W HIGH ST, STE 101, LIMA, OH 45801-3968
(419) 227-9354
(419) 228-3273
Mailing address
830 W HIGH ST, STE 101, LIMA, OH 45801-3968
(419) 227-9354
(419) 228-3273
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
3506935
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000207541
ANTHEM BLUE SHIELD
OH
01
—
160046611
RAILROAD MEDICARE
OH
05
—
2018328
—
OH
Enumeration date
05/24/2005
Last updated
06/11/2024
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