Individual provider · Type 1 NPI
Alyssa K. Stephenson, DPM
Foot & Ankle Surgery Podiatrist · Fond Du Lac, WI
NPI number
1871563601
Active
Practice location
421 Camelot Dr
Fond Du Lac, WI 54935-8335
Fax (920) 926-8971
Mailing address
420 E Division St
Fond Du Lac, WI 54935-4560
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 866-25 (WI) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1871563601
Alyssa K. Stephenson, DPM's National Provider Identifier is 1871563601, issued on Jan 24, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Fond Du Lac, WI. The record was last updated on Dec 16, 2020.