Individual
DR. STEPHEN J SERIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1821 S WEBSTER AVE, GREEN BAY, WI 54301-2253
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301098449
MI
208600000X
Surgery Physician
Primary
70849-20
WI
208600000X
Surgery Physician
7365
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100089545
—
WI
Enumeration date
06/10/2011
Last updated
01/16/2024
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