Provider Demographics
NPI:1225728751
Name:HUNSTIGER, ANGELA (CPM)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:HUNSTIGER
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 CRESCENT ST
Mailing Address - Street 2:
Mailing Address - City:MAZOMANIE
Mailing Address - State:WI
Mailing Address - Zip Code:53560-9675
Mailing Address - Country:US
Mailing Address - Phone:612-817-2501
Mailing Address - Fax:
Practice Address - Street 1:53 CRESCENT ST
Practice Address - Street 2:
Practice Address - City:MAZOMANIE
Practice Address - State:WI
Practice Address - Zip Code:53560-9675
Practice Address - Country:US
Practice Address - Phone:612-817-2501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-09
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI304-49176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife