Individual
STEVEN MARK BETTAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1621 N TAYLOR DR, SHEBOYGAN, WI 53081-1990
(920) 458-7433
(920) 452-3594
Mailing address
1621 N TAYLOR DR, SHEBOYGAN, WI 53081-1990
(920) 458-7433
(920) 452-3594
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
36813-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32158500
—
WI
Enumeration date
01/04/2007
Last updated
07/08/2007
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