| Stephen L Dudek, MD | |
|
2300 Western Avenue, Manitowoc, WI 54221-1450 | |
| (920) 684-2255 | |
| Not Available |
| Full Name | Stephen L Dudek |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 2300 Western Avenue, Manitowoc, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790710952 | NPI | - | NPPES |
| 30769100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 024823 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen L Dudek, MD Po Box 1450, Manitowoc, WI 54221-1450 Ph: (920) 684-5560 | Stephen L Dudek, MD 2300 Western Avenue, Manitowoc, WI 54221-1450 Ph: (920) 684-2255 |
Matthew Koeberl, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2300 Western Ave, Lakeshore Radiology, Manitowoc, WI 54220 Phone: 920-320-3800 | |
Todd J Schroeder, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2300 Western Avenue, Manitowoc, WI 54221 Phone: 920-684-2255 | |
Thomas A Keller, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2300 Western Avenue, Manitowoc, WI 54221 Phone: 920-684-2255 |