Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 21859-20 | WI |
NPI | 1033122312 |
---|---|
Provider Name | Dr. Steven D Stenzel |
First Address | Eau Claire, WI 54701-6133 |
Second Address | Eau Claire, WI 54701-4564 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2006 |
Last Update Date | 17/03/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
30175600 | (05) | WI |
B56867 | (02) | |
B56867 | (02) | WI |