Individual
HEATHER M STEFANIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2845 GREENBRIER RD STE 240, GREEN BAY, WI 54311-6519
(920) 288-8280
(920) 288-8285
Mailing address
2845 GREENBRIER RD STE 240, PO BOX 8900, GREEN BAY, WI 54311-6519
(920) 288-8280
(920) 288-8285
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
51127
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35105300
—
WI
Enumeration date
05/03/2007
Last updated
08/26/2008
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