Healthcare Provider Details

I. General information

NPI: 1154328029
Provider Name (Legal Business Name): STEPHEN EUGENE PIEROTTI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 07/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 DELHI ST STE 4200
DUBUQUE IA
52001-6319
US

IV. Provider business mailing address

1500 DELHI ST STE 4200
DUBUQUE IA
52001-6319
US

V. Phone/Fax

Practice location:
  • Phone: 563-557-5999
  • Fax: 563-557-5990
Mailing address:
  • Phone: 563-557-5999
  • Fax: 563-557-5990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number36319
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number27856
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: