Individual
MR. STEPHEN LESLIE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1050 DIVISION ST, MAUSTON, WI 53948-1931
(608) 847-6161
Mailing address
1050 DIVISION ST, MAUSTON, WI 53948-1931
(608) 847-6161
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2499-23
WI
Other
Enumeration date
04/21/2010
Last updated
10/18/2018
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