Individual
RICHARD S STEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3003 UNIVERSITY DR, MARINETTE, WI 54143-4110
(414) 290-6720
(414) 290-6755
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(715) 735-4200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25716
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104160577
—
MI
05
—
30516000
—
WI
05
—
807418300
—
ID
01
—
930079992
MEDICARE RAILROAD
WI
01
—
930124538
MEDICARE RAILROAD
WI
Enumeration date
07/10/2006
Last updated
10/10/2023
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