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Physician Compare National (NPI:1972530699)

HEALTHCARE PROVIDER: GARY C STEVEN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1972530699
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 2961558697
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20090922000679
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name STEVEN
Individual professional last name
Provider First Name GARY
Individual professional first name
Provider Middle Name C
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name MEDICAL COLLEGE OF WISCONSIN
Individual professional's medical school
Graduation Year 1991
Individual professional's medical school graduation year
Primary Specialty ALLERGY/IMMUNOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name ALLERGY, ASTHMA AND SINUS CENTER, S.C.
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 0941356679
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 2
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 123 WOLF RUN
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 5
Group Practice or individual's line 2 address
City MUKWONAGO
Group Practice or individual's city
State WI
Group Practice or individual's state
Zip Code 531498479
Group Practice or individual's zip code (9 digits when available)
Phone Number 2623636880
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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