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Dr. Stephanie L Bantell, MD
Family Medicine Physician in Black River Falls, Wisconsin
NPI 1225314131

Stephanie L Bantell is a Family Medicine Physician based in Black River Falls, WI. Stephanie L Bantell practices in Black River Falls, WI and has the professional credentials of MD. The NPI Number for Stephanie L Bantell is 1225314131 and holds a License No. 57440-20 (Wisconsin).

The current practice location address for Stephanie L Bantell is 610 W Adams St, Black River Falls, WI and can be reached out via phone at 715-284-4311 and via fax at 715-284-0475.

Location: 610 W Adams St, Black River Falls, WI, 54615-9110
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225314131
Provider Name
Stephanie L Bantell
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
610 W Adams St, Black River Falls, WI, 54615-9110
Phone Number
715-284-4311
Fax Number
715-284-0475
Provider Enumeration Date
10/25/2011
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3928-850 01 WI TEP
57440-20 01 WI WI STATE LICENSE
41109 01 IA IOWA STATE BOARD
institution
Provider Business Practice Location Address Details
Address
610 W Adams St
City
Black River Falls
State
Wisconsin
Zip
54615
Phone Number
715-284-4311
Fax Number
715-284-0475
person
Provider Business Mailing Address Details
Address
610 W Adams St
City
Black River Falls
State
Wisconsin
Zip
54615
Phone Number
715-284-4311
Fax Number
715-284-0475
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
57440-20 (Wisconsin)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
57440-20 (Wisconsin)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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