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Individual

STEPHANIE L ALBAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
958 FOOTE ST, SEYMOUR, WI 54165-1044
(920) 833-9896
Mailing address
958 FOOTE ST, SEYMOUR, WI 54165-1044

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
10300-33
WI
363L00000X
Nurse Practitioner
Primary
10300-33
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100141692
WI
Enumeration date
11/20/2020
Last updated
06/06/2024
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