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Individual

CRAIG T STEFANCZYK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
275 STATE ROAD 32, SHEBOYGAN FALLS, WI 53085-3315
(920) 467-8690
Mailing address
914 ASPEN RD, KOHLER, WI 53044-1462
(920) 452-7907

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2611
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38850800
WI
Enumeration date
10/16/2006
Last updated
07/08/2007
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