Organization
STEWART F TAYLOR JR MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE WALTERS (MANAGER)
(608) 742-4242
Entity
Organization
Contact information
Practice address
2817 NEW PINERY RD STE 202, PORTAGE, WI 53901-9257
(608) 742-4242
Mailing address
2817 NEW PINERY RD STE 202, PORTAGE, WI 53901-9257
(608) 742-4242
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
23326
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30335100
—
WY
Enumeration date
01/10/2008
Last updated
01/10/2008
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