Individual
IAN J STOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1830 STATE HIGHWAY 9, DECORAH, IA 52101-7301
(563) 382-3140
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
71783
WI
207Q00000X
Family Medicine Physician
Primary
DO-05825
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
WI
Other
Enumeration date
04/05/2018
Last updated
02/14/2023
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