Individual
STEPHEN RAYMOND HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
58250
WI
207NP0225X
Pediatric Dermatology Physician
58250
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417246257
—
WI
Enumeration date
04/01/2011
Last updated
03/12/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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