Individual
STEPHEN J JANQUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
32309
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050080969
RAILROAD
WI
05
—
104334255
—
MI
05
—
104389389
—
MI
05
—
32271700
—
WI
Enumeration date
06/29/2006
Last updated
08/29/2008
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