Individual
DR. STEPHEN K KWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
101680
WI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
23435
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000096693
—
AL
Enumeration date
10/04/2006
Last updated
05/21/2024
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