Individual
MS. SHARON L. STAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3524 E MILWAUKEE ST, JANESVILLE, WI 53546-1626
(608) 756-7100
(608) 756-4700
Mailing address
3524 E MILWAUKEE ST, JANESVILLE, WI 53546-1626
(608) 756-7100
(608) 756-4700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32621-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31767100
—
WI
Enumeration date
01/30/2006
Last updated
04/25/2024
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