Organization
FAITHFUL PHYSICIAN SERVICES LLC
Active
Other names
Faithful Physician Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN MATHER KOTSONIS M.D. (OWNER)
(262) 373-6733
Entity
Organization
Contact information
Practice address
1109 CECELIA DRIVE, PEWAUKEE, WI 53072-2524
(262) 373-6733
(262) 373-6018
Mailing address
12420 W HAMPTON AVE #89, BUTLER, WI 53007-0089
(262) 373-6733
(262) 373-6018
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
53437-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100031662
—
WI
Enumeration date
12/20/2015
Last updated
06/27/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us