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Individual

STEVEN M SPERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4600 W LOOMIS RD STE 201, GREENFIELD, WI 53220
(414) 281-4466
(414) 281-4564
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
69171
WI
2086S0122X
Plastic and Reconstructive Surgery Physician
69171
WI
2086X0206X
Surgical Oncology Physician
69171
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100078513
WI
Enumeration date
07/15/2008
Last updated
07/02/2024
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