Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
DR. STEPHANIE L BANTELL
Active
Individual
DR. STEPHANIE L BANTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
41109
IA
207Q00000X
Family Medicine Physician
Primary
57440-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
3928-850
WI
390200000X
Student in an Organized Health Care Education/Training Program
57440-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3928-850
TEP
WI
01
—
41109
IOWA STATE BOARD
IA
01
—
57440-20
WI STATE LICENSE
WI
Enumeration date
10/25/2011
Last updated
06/30/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up