Individual
STEPHANIE L NOTTESTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
704 KATIE CT, CAMBRIDGE, WI 53523-9308
(608) 423-1100
(608) 423-9851
Mailing address
704 KATIE CT, CAMBRIDGE, WI 53523-9308
(608) 423-1100
(608) 423-9851
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46323-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34677000
—
WI
Enumeration date
08/05/2006
Last updated
03/07/2023
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