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Individual

DR. STEPHEN ANDREW COLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
525 KENOSHA ST, SUITE A, WALWORTH, WI 53184-9512
(262) 275-2101
(262) 275-0752
Mailing address
107 PRAIRIE DR, WALWORTH, WI 53184-9794
(865) 789-1747

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
61002-20
WI
207Q00000X
Family Medicine Physician
Primary
61002-20
WI

Other

Enumeration date
09/13/2006
Last updated
08/28/2017
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