Provider Demographics
NPI:1093789315
Name:STEPKE, CHAD J (MD)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:J
Last Name:STEPKE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:788 N. JEFFERSON STREET
Mailing Address - Street 2:SUITE 300/ATTN. KAAREN BUTZEN
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53202
Mailing Address - Country:US
Mailing Address - Phone:414-272-8950
Mailing Address - Fax:414-272-0859
Practice Address - Street 1:788 N. JEFFERSON STREET
Practice Address - Street 2:SUITE 401
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53202
Practice Address - Country:US
Practice Address - Phone:414-226-4020
Practice Address - Fax:414-225-2929
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2016-11-15
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Provider Licenses
StateLicense IDTaxonomies
WI43327207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1093789315Medicaid
WI1093789315Medicaid
WI1093789315Medicaid