Healthcare Provider Details

I. General information

NPI: 1992216550
Provider Name (Legal Business Name): ANN MARIE KRAMER OBERMEIER BS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/22/2017
Last Update Date: 10/22/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1309 S ONEIDA ST
APPLETON WI
54915-1351
US

IV. Provider business mailing address

N1825 GREENWOOD RD
GREENVILLE WI
54942-9094
US

V. Phone/Fax

Practice location:
  • Phone: 920-850-4556
  • Fax:
Mailing address:
  • Phone: 920-850-4556
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: