Individual
STEPHEN M DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
19620
WI
207RC0000X
Cardiovascular Disease Physician
35657
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30326500
—
WI
Enumeration date
06/15/2005
Last updated
08/20/2014
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