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NPI Code Detail

MEDICARE: DEBRA M STIEVE R.D.H.

MEDICARE:   DEBRA M STIEVE  R.D.H.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1124Q00000XDental Hygienist4584-016WI

General Provider Information

NPI Number : 1740269471
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA M STIEVE R.D.H.
Provider Business Mailing Address
First Line : 1250 PRAIRIE ST
Second Line :
City : PRAIRIE DU SAC
State : WI
Zip : 53578-2041
Country : US
Telephone Number : 608-643-8505
Fax Number : 608-643-8097
Provider Business Practice Location Address
First Line : 1250 PRAIRIE ST
Second Line :
City : PRAIRIE DU SAC
State : WI
Zip : 53578-2041
Country : US
Telephone Number : 608-643-8505
Fax Number : 608-643-8097
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2006
Last Update Date : 07/08/2007

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Directions to “ DEBRA M STIEVE R.D.H.” Practice Location

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