Provider Demographics
NPI:1073824926
Name:SOMMERS, MARY (CNM)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:SOMMERS
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6720 FRANK LLOYD WRIGHT AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-1753
Mailing Address - Country:US
Mailing Address - Phone:608-821-0123
Mailing Address - Fax:608-826-2710
Practice Address - Street 1:6720 FRANK LLOYD WRIGHT AVE
Practice Address - Street 2:
Practice Address - City:MIDDLETON
Practice Address - State:WI
Practice Address - Zip Code:53562-1753
Practice Address - Country:US
Practice Address - Phone:608-821-0123
Practice Address - Fax:608-826-2710
Is Sole Proprietor?:No
Enumeration Date:2010-06-25
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife