Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 47810-20 | WI |
NPI | 1164589529 |
---|---|
Provider Name | Brian Robert Stafeil |
First Address | Madison, WI 53715-1830 |
Second Address | Madison, WI 53715-1830 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2007 |
Last Update Date | 29/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1164589529 | (05) | WI |