MEDICARE: DR. JENNIFER L STAUS-KAMINSKI

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	174M00000X	Veterinarian

General Provider Information

NPI Number	:	1912858812
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER L STAUS-KAMINSKI

Provider Business Mailing Address
First Line	:	N1230 ORCHARD RIDGE RD
Second Line	:
City	:	MERRILL
State	:	WI
Zip	:	54452-8126
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2660 FOREST DR
Second Line	:
City	:	PLOVER
State	:	WI
Zip	:	54467-3863
Country	:	US
Telephone Number	:	715-341-9664
Fax Number	:

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

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

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