Individual
STEVEN JOHN NOVOTNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 REDBIRD CIR, STE 300, DE PERE, WI 54115-7977
(920) 338-6870
Mailing address
555 REDBIRD CIR, STE 300, DE PERE, WI 54115-7977
(920) 338-6870
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39958
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39958
LICENSE
WI
Enumeration date
12/06/2005
Last updated
02/27/2014
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