Individual
MS. STACY FERRIS COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2000
(608) 324-1246
Mailing address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2000
(608) 324-1246
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
65408
WI
207R00000X
Internal Medicine Physician
036140845
IL
207R00000X
Internal Medicine Physician
65408
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100058859
—
WI
Enumeration date
06/12/2012
Last updated
12/28/2020
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