Stellmacher, Scott J

Stellmacher, Scott J is an individual health care provider with primary practice located at 210 Wisconsin American Dr , Fond Du Lac WI 54935. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Stellmacher, Scott J can be contacted via phone (920) 907-7000.

Contact Information

Primary practice address
210 Wisconsin American Dr Fond Du Lac WI 54935
Phone: (920) 907-7000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 29515 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 29515 Wisconsin

Profile Details

NPI number 1043327265
LBN Legal business name Stellmacher, Scott J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Nov 13th, 2023 - about last year

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 1043327265 NPPES
Wisconsin MEDICAID 31423200

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