Individual
DR. STEPHEN A LINDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 N WASHINGTON ST, JANESVILLE, WI 53548-1561
(608) 741-3800
(608) 741-6792
Mailing address
1010 N WASHINGTON ST, JANESVILLE, WI 53548-1561
(815) 741-6799
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17963-20
WI
2083X0100X
Occupational Medicine Physician
17963
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114093408
—
WI
01
—
LINDASTE
MERCYCARE INSURANCE
WI
Enumeration date
11/28/2006
Last updated
04/22/2013
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