Individual
DR. STEPHEN SHERMAN DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
503 DOCTORS CT, OSHKOSH, WI 54901-2025
(920) 236-3540
(920) 236-3546
Mailing address
503 DOCTORS CT, OSHKOSH, WI 54901-2025
(920) 236-3540
(920) 236-3546
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
18258
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180018601
RAILROAD MEDICARE PIN
WI
05
—
31233200
—
WI
01
—
CP7959
RAILROAD MEDICARE GROUP #
WI
Enumeration date
08/30/2006
Last updated
05/15/2009
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