Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 40963 | MA |
NPI | 1023002052 |
---|---|
Provider Name | Stephen Zuehlke |
First Address | Fall River, MA 02721-3005 |
Second Address | Fall River, MA 02721-3005 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2005 |
Last Update Date | 02/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A59637 | (02) |