Individual
BURT JAMES STEFFES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
145 N MAIN ST, FOND DU LAC, WI 54935-3423
(920) 926-8722
Mailing address
2102 CONTINENTAL DR, WEST BEND, WI 53095-7898
(262) 558-4367
(920) 569-3369
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
53448
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100004929
—
WI
01
—
P00765313
RAILROAD MEDICARE
WI
Enumeration date
10/25/2007
Last updated
01/28/2020
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