Individual
ALICE D. STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5690
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
40267
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34255400
—
WI
01
—
40267
LICENSE
WI
Enumeration date
08/31/2006
Last updated
08/16/2011
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