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Individual

DR. STEFAN MICHAEL SCHIEKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3326 LAKE MENDOTA DR, MADISON, WI 53705-1469
(000) 000-0000
Mailing address
3326 LAKE MENDOTA DR, MADISON, WI 53705-1469

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
57219
WI
207N00000X
Dermatology Physician
MT192569
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1396987848
WI
Enumeration date
03/30/2009
Last updated
08/14/2022
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