Individual
LYALL CARLTON STILP II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2133 WILLOW LN, OSHKOSH, WI 54902-9121
(920) 410-3381
Mailing address
PO BOX 2742, OSHKOSH, WI 54903-2742
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
16735-020
WI
Other
Enumeration date
04/21/2009
Last updated
04/21/2009
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