Individual
DR. STEPHEN C. MURPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2817 NEW PINERY RD, PORTAGE, WI 53901-0387
(608) 742-4131
(608) 745-6393
Mailing address
2817 NEW PINERY RD, PO BOX 387, PORTAGE, WI 53901-0387
(608) 742-4131
(608) 745-6393
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016004652
IL
213ES0000X
Sports Medicine Podiatrist
016004652
IL
213ES0131X
Foot Surgery Podiatrist
016004652
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004652
—
IL
01
—
01622732
BLUE CROSS
—
01
—
480025958
RR MCR
—
Enumeration date
03/08/2006
Last updated
01/31/2012
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