Individual
DR. STEPHEN KIMBALL STACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
815 SOUTH 10TH ST, LA CROSSE, WI 54601-4764
(608) 785-0940
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(608) 785-0940
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
71099
WI
Other
Enumeration date
03/04/2012
Last updated
06/27/2022
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