Individual
JEFFREY J STEPHANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 W RIVER WOODS PARKWAY, STE 130, GLENDALE, WI 53212
(414) 961-0304
(414) 961-2061
Mailing address
575 W RIVER WOODS PKWY, STE 100, GLENDALE, WI 53212-1058
(414) 332-6262
(414) 332-0422
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
38539-020
WI
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
38539
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200045640
RAILROAD MEDICARE
—
05
—
34079800
—
WI
Enumeration date
06/08/2005
Last updated
10/24/2019
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