Healthcare Provider Details

I. General information

NPI: 1447176953
Provider Name (Legal Business Name): DONALD STAMMER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

174 N 8TH ST APT 10
WILLIAMSBURG OH
45176-1112
US

IV. Provider business mailing address

2415 GATETREE LN
BATAVIA OH
45103-9717
US

V. Phone/Fax

Practice location:
  • Phone: 513-371-2064
  • Fax:
Mailing address:
  • Phone: 513-371-2064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: