Individual
HEATHER ALISSA STANKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
725 S WEBSTER SUITE 201, NEUROLOGY CONSULTANTS, GREEN BAY, WI 54301
(920) 430-7100
(920) 430-7114
Mailing address
725 S WEBSTER SUITE 201, NEUROLOGY CONSULTANTS, GREEN BAY, WI 54301
(920) 430-7100
(920) 430-7114
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
41491
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34469200
—
WI
Enumeration date
07/11/2006
Last updated
03/05/2015
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