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General NPI Number Information
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NPI Number | 1710152079
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Entity Type | Organization
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Legal Business Name | STIENNON RADIOLOGY GROUP
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Dates
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Enumeration Date | 04/28/2008
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Last Update Date | 04/28/2008
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Provider Practice Location Address
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Address Line | 2814 MARSHALL CT
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City | MADISON
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State | WI
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Zip | 53705-2258
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Country | US
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Telephone | 608-233-8957
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Fax | 608-233-1964
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Provider Business Mailing Address
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Address Line | 2814 MARSHALL CT
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City | MADISON
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State | WI
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Zip | 53705-2258
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Country | US
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Telephone | 608-233-8957
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Fax | 608-233-1964
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Authorized Official
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Title or Position | PARTNER
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Name | DR. MICHAEL JOHN STIENNON
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Credential | M.D.
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Telephone | 608-233-8957
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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