Individual
STEPHEN R DERNLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3916 N INTERTECH CT, APPLETON, WI 54913
(920) 996-1000
(920) 997-8302
Mailing address
3916 N INTERTECH CT, APPLETON, WI 54913
(920) 996-1000
(920) 997-8302
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30115-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31480500
—
WI
01
—
P00062904
RR MEDICARE
—
Enumeration date
07/06/2006
Last updated
06/01/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us