Individual
PAUL R STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4480 W SPENCER ST, APPLETON, WI 54914-9106
(920) 738-4800
(920) 738-5749
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 738-4800
(920) 738-5749
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
66341
WI
Other
Enumeration date
04/22/2015
Last updated
07/19/2021
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