Individual
DR. STEWART FERGUSON TAYLOR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
108 E COOK ST, PORTAGE, WI 53901-0320
(608) 742-4242
(608) 742-1931
Mailing address
PO BOX 320, 108 E COOK ST, PORTAGE, WI 53901-0320
(608) 742-4242
(608) 742-1931
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
23326
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30335100
—
WI
Enumeration date
09/21/2006
Last updated
11/06/2007
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