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Individual

DR. STEVEN C IMMERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
719 W HAMILTON AVE, C, EAU CLAIRE, WI 54701-6968
(715) 832-1044
(715) 832-0520
Mailing address
719 W HAMILTON AVE, C, EAU CLAIRE, WI 54701-6968
(715) 832-1044
(715) 832-0520

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
23570
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17-13729
MEDICA/SELECT CARE
WI
05
30428200
WI
01
42986
HEALTH PARTNERS
WI
Enumeration date
03/31/2006
Last updated
12/17/2021
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