Individual
JOHN M STERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1818 MEMORIAL DR, MANITOWOC, WI 54220-1441
(920) 320-6344
(920) 682-6768
Mailing address
PO BOX 2290, MANITOWOC, WI 54221-2290
(920) 320-2840
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
23260
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110006357
WEA
WI
01
—
23260
TOUCHPOINT
WI
01
—
3017
NETWORK HEALTH PLAN
WI
05
—
30352000
—
WI
01
—
3400156067
RAILROAD MEDICARE
WI
01
—
373980001
DMERC
WI
01
—
3908063950B1
BLUE CROSS BLUE SHIELD
WI
01
—
B56871
CIGNA
WI
01
—
W004685
CHAMPUS
WI
Enumeration date
08/28/2006
Last updated
06/26/2008
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