Provider Demographics
NPI:1205182532
Name:STUNTZ, NILES KATHERINE (DVM)
Entity Type:Individual
Prefix:DR
First Name:NILES
Middle Name:KATHERINE
Last Name:STUNTZ
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BADGER RUN
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04062-5842
Mailing Address - Country:US
Mailing Address - Phone:207-892-8553
Mailing Address - Fax:
Practice Address - Street 1:1 BADGER RUN
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:ME
Practice Address - Zip Code:04062-5842
Practice Address - Country:US
Practice Address - Phone:207-892-8553
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-24
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEVT2002174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian