Individual
STEPHEN W NOLTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
N21W24805 STILL RIVER DR, PEWAUKEE, WI 53072-8507
(715) 577-9160
Mailing address
N21W24805 STILL RIVER DR, PEWAUKEE, WI 53072-8507
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
33101
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31820800
—
WI
Enumeration date
08/11/2005
Last updated
10/23/2023
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