MEDICARE: JOHN FREDERIC STAMLER M.D., PHD.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	23678	IA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	180022818	OTHER	IA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	19965	OTHER	IA	BLUE CROSS BLUE SHIELD
2	42144513501	OTHER	IA	JOHN DEERE HEALTH
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720085509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN FREDERIC STAMLER M.D., PHD.

Provider Business Mailing Address
First Line	:	2629 NORTHGATE DR
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52245-9565
Country	:	US
Telephone Number	:	319-338-3623
Fax Number	:	319-338-7289

Provider Business Practice Location Address
First Line	:	2629 NORTHGATE DR
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52245-9565
Country	:	US
Telephone Number	:	319-338-3623
Fax Number	:	319-338-7289

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	02/02/2012

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