Individual
DR. JUDE E STENOVITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2417 POST RD, BUILDING A, STEVENS POINT, WI 54481-6124
(715) 690-1272
(877) 212-4294
Mailing address
400 S TOWNLINE RD, WAUTOMA, WI 54982-6922
(715) 690-1272
(877) 212-4294
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
51763-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WI2647001
MEDICARE PTAN
WI
Enumeration date
10/23/2006
Last updated
02/11/2021
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