Individual
DR. ROM A STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5900 S LAKE DR, CUDAHY, WI 53110-3171
(414) 489-9000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 489-9000
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
25448
WI
208VP0014X
Interventional Pain Medicine Physician
25448-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31779900
—
WI
Enumeration date
11/26/2005
Last updated
10/10/2023
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