Individual
STEPHANIE LYNN BAKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
6058
TN
2086S0102X
Surgical Critical Care Physician
Primary
65723
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2010
Last updated
09/10/2025
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