Healthcare Provider Details

I. General information

NPI: 1922976323
Provider Name (Legal Business Name): COURTNEY MARIE STERZINGER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2025
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

N20W22961 WATERTOWN RD
WAUKESHA WI
53186-1308
US

IV. Provider business mailing address

410 E REED AVE APT 7
MANITOWOC WI
54220-2143
US

V. Phone/Fax

Practice location:
  • Phone: 262-875-5070
  • Fax: 866-384-9486
Mailing address:
  • Phone: 715-451-5708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number8608-23
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: