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1407120702
STEPHEN KIMBALL STACEY
LA CROSSE, WI
NPI
1407120702
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WI 71099)
Enumeration Date
2012-03-04
Last Update Date
2022-06-27
Business Address
Dr. STEPHEN KIMBALL STACEY DO
815 SOUTH 10TH ST
LA CROSSE, WI 54601-4764
Phone number: 608-785-0940
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Mailing Address
Dr. STEPHEN KIMBALL STACEY DO
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 608-785-0940
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