Organization
STEPHEN C DUNGAR MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN C DUNGAR M.D. (PRESIDENT)
(920) 380-1593
Entity
Organization
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 380-1593
Mailing address
200 E WASHINGTON ST, P O BOX 8031, APPLETON, WI 54911-5490
(800) 261-1770
(920) 739-0124
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21299300
—
WI
Enumeration date
06/02/2006
Last updated
08/22/2020
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