Individual
STEFAN MICHAEL BRETTFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
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
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
65094
MN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
94-321
WI
390200000X
Student in an Organized Health Care Education/Training Program
R-13-2015
NM
Other
Enumeration date
04/17/2015
Last updated
07/29/2020
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