Provider Demographics
NPI:1558628073
Name:GUENTHER, STEVEN F (DO)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:F
Last Name:GUENTHER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W1199 LINCOLN RD
Mailing Address - Street 2:
Mailing Address - City:OCONOMOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:53066-9567
Mailing Address - Country:US
Mailing Address - Phone:262-224-2933
Mailing Address - Fax:
Practice Address - Street 1:232 MAIN ST APT 212
Practice Address - Street 2:
Practice Address - City:DELAFIELD
Practice Address - State:WI
Practice Address - Zip Code:53018-1308
Practice Address - Country:US
Practice Address - Phone:262-224-2933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-22
Last Update Date:2018-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
WI63739-21207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program