Individual
DR. MICHAEL J STIENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
855 S MAIN ST, OCONTO FALLS, WI 54154-1241
(920) 846-3444
Mailing address
200 E WASHINGTON ST, P O BOX 8031, APPLETON, WI 54911-5490
(866) 313-0336
(920) 739-0124
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
21088-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30784900
—
WI
Enumeration date
07/12/2006
Last updated
07/09/2007
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