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Individual

DR. STEPHEN HENRY LASKIEWICZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-5600
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
125-050855
IL
207P00000X
Emergency Medicine Physician
Primary
54087
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100008701
WI
Enumeration date
02/15/2009
Last updated
04/16/2024
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