Individual
DR. STEPHEN JOHN BLOECHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
1200
WI
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
4301110610
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316181795
—
MI
Enumeration date
04/28/2009
Last updated
09/17/2021
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