| William Stephan, M.D., P.C. | |
|
4080 Delaware Ave Tonawanda NY 14150-6848 | |
| (716) 875-7399 | |
| (716) 692-4342 |
| Full Name | William Stephan, M.D., P.C. |
|---|---|
| Speciality | Family Medicine |
| Location | 4080 Delaware Ave, Tonawanda, New York |
| Authorized Official Name and Position | William Stephan (OWNER) |
| Authorized Official Contact | 7168757399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William Stephan, M.D., P.C. Po Box 92336 Rochester NY 14692-0336 Ph: (716) 692-3302 | William Stephan, M.D., P.C. 4080 Delaware Ave Tonawanda NY 14150-6848 Ph: (716) 875-7399 |
| NPI Number | 1083644306 |
|---|---|
| Provider Enumeration Date | 07/03/2006 |
| Last Update Date | 10/15/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083644306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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