Individual
STEPHANIE R CURTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
557 N WASHINGTON ST, JANESVILLE, WI 53548-2907
(608) 754-6000
(608) 755-7892
Mailing address
557 N WASHINGTON ST, JANESVILLE, WI 53548-2907
(608) 754-6000
(608) 755-7892
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
11058
MN
363A00000X
Physician Assistant
Primary
3092-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100029025
—
WI
01
—
1124305784
BCBSWI
WI
05
—
1124305784
—
WI
01
—
DILLASTE
MERCYCARE INSURANCE
WI
Enumeration date
11/10/2011
Last updated
10/06/2023
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