William Stephan, M.d., P.c. | |
4080 Delaware Ave Tonawanda NY 14150-6848 | |
(716) 875-7399 | |
(716) 692-4342 |
Full Name | William Stephan, M.d., P.c. |
---|---|
Speciality | Family Medicine |
Location | 4080 Delaware Ave, Tonawanda, New York |
Authorized Official Name and Position | William Stephan (OWNER) |
Authorized Official Contact | 7168757399 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
William Stephan, M.d., P.c. Po Box 92336 Rochester NY 14692-0336 Ph: (716) 692-3302 | William Stephan, M.d., P.c. 4080 Delaware Ave Tonawanda NY 14150-6848 Ph: (716) 875-7399 |
NPI Number | 1083644306 |
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Provider Enumeration Date | 07/03/2006 |
Last Update Date | 10/15/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083644306 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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