Stefaniak, Heather M

Stefaniak, Heather M is an individual health care provider with primary practice located at 2845 Greenbrier Rd Ste 240 , Green Bay WI 54311-6519. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Stefaniak, Heather M can be contacted via phone (920) 288-8280.

Contact Information

Primary practice address
2845 Greenbrier Rd Ste 240 Green Bay WI 54311-6519
Phone: (920) 288-8280
Fax: (920) 288-8285
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 51127 Wisconsin

Profile Details

NPI number 1013139641
LBN Legal business name Stefaniak, Heather M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Aug 26th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013139641 NPPES
Wisconsin MEDICAID 35105300

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