Organization
STIENNON RADIOLOGY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JOHN STIENNON M.D. (PARTNER)
(608) 233-8957
Entity
Organization
Contact information
Practice address
2814 MARSHALL CT, MADISON, WI 53705-2258
(608) 233-8957
(608) 233-1964
Mailing address
2814 MARSHALL CT, MADISON, WI 53705-2258
(608) 233-8957
(608) 233-1964
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32703500
—
WI
Enumeration date
04/28/2008
Last updated
04/28/2008
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