Individual
CHARLES GRADY STEPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
832 GRAFFIN RD, DEERFIELD, WI 53531-9789
(608) 239-8263
Mailing address
832 GRAFFIN RD, DEERFIELD, WI 53531-9789
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
38130
WI
2085R0202X
Diagnostic Radiology Physician
Primary
38130
WI
Other
Enumeration date
03/14/2006
Last updated
02/23/2026
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