Individual
DR. STEVEN J STAEHLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11430 N PORT WASHINGTON RD, MEQUON, WI 53092-3414
(920) 476-6300
Mailing address
11430 N PORT WASHINGTON RD, MEQUON, WI 53092-3414
(920) 476-6300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34890-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32006400
—
WI
Enumeration date
04/25/2006
Last updated
11/14/2021
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