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1114978236
JON CHARLES STEPHENSON
SUPERIOR, WI
NPI
1114978236
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WI 21317)
Enumeration Date
2006-05-13
Last Update Date
2007-10-19
Business Address
Dr. JON CHARLES STEPHENSON MD
109 N 28TH ST E
SUPERIOR, WI 54880-6548
Phone number: 715-395-3930
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Mailing Address
Dr. JON CHARLES STEPHENSON MD
109 N 28TH ST E
SUPERIOR, WI 54880-6548
Phone number: 715-395-3930
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