Provider Demographics
NPI:1437219334
Name:STENZEL CLINIC FOR WOMEN'S HEALTH, S.C.
Entity Type:Organization
Organization Name:STENZEL CLINIC FOR WOMEN'S HEALTH, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:STENZEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:715-831-6100
Mailing Address - Street 1:1030 OAK RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54701-4564
Mailing Address - Country:US
Mailing Address - Phone:715-831-6100
Mailing Address - Fax:
Practice Address - Street 1:1030 OAK RIDGE DR
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701-4564
Practice Address - Country:US
Practice Address - Phone:715-831-6100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI21859302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI30175600Medicaid
WIB56867Medicare UPIN