Individual
GILBERT D. STEFFANIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 GROVE AVE, WILD ROSE, WI 54984-6901
(920) 622-6017
Mailing address
701 GROVE AVE, WILD ROSE, WI 54984-6901
(920) 622-6017
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33033 020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31894500
—
WI
Enumeration date
07/05/2006
Last updated
04/29/2014
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