Individual
STEPHANIE SKLADZIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
675 W WASHINGTON AVE, MADISON, WI 53703-2637
(608) 257-9700
Mailing address
675 W WASHINGTON AVE, MADISON, WI 53703-2637
(608) 257-9700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
51151-020
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2006
Last updated
03/20/2014
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