Individual
STEVEN J GENHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5301 COMMERCIAL AVE, MADISON, WI 53704-6481
(608) 204-6120
Mailing address
5301 COMMERCIAL AVE, MADISON, WI 53704-6481
(608) 204-6120
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
23962
WI
2084P0800X
Psychiatry Physician
Primary
25182
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207795700
—
MN
Enumeration date
02/23/2006
Last updated
01/15/2010
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