Individual
DR. STEPHEN P FEUERBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5923 GREEN BAY RD, KENOSHA, WI 53144-3737
(262) 652-0500
(262) 652-1928
Mailing address
5923 GREEN BAY RD, KENOSHA, WI 53144-3737
(262) 652-0500
(262) 652-1928
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30201
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0801880166
RAILROAD MEDICARE
—
05
—
31495000
—
WI
Enumeration date
04/13/2006
Last updated
07/25/2022
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