Individual
DR. STEPHEN F ISRAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
207P00000X
Emergency Medicine Physician
036109519
IL
207P00000X
Emergency Medicine Physician
Primary
C0548
KY
207R00000X
Internal Medicine Physician
916
WI
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
036109519
IL
208000000X
Pediatrics Physician
036019519
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036109519
—
IL
05
—
371352599001
—
IL
Enumeration date
09/21/2005
Last updated
08/03/2023
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