Individual
STEPHEN MICHAEL SPELTZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
715 DELMORE DR, ROSEAU, MN 56751-1534
(218) 463-2500
Mailing address
1304 E TROY RD, WAUSAU, WI 54403-2017
(715) 675-6481
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
21856-020
WI
207P00000X
Emergency Medicine Physician
Primary
44488
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30306300
—
WI
Enumeration date
06/01/2006
Last updated
07/08/2007
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