Provider Demographics
NPI:1891350443
Name:DURAN, STEPHAN FELIX (MD, MS)
Entity Type:Individual
Prefix:DR
First Name:STEPHAN
Middle Name:FELIX
Last Name:DURAN
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Gender:M
Credentials:MD, MS
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Mailing Address - Street 1:801 YORK ST
Mailing Address - Street 2:
Mailing Address - City:MANITOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:54220-4630
Mailing Address - Country:US
Mailing Address - Phone:920-663-9008
Mailing Address - Fax:920-684-1439
Practice Address - Street 1:620 GRASSFIELD PKWY STE 100
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-7449
Practice Address - Country:US
Practice Address - Phone:757-394-8696
Practice Address - Fax:757-793-2183
Is Sole Proprietor?:No
Enumeration Date:2019-05-08
Last Update Date:2023-11-15
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Provider Licenses
StateLicense IDTaxonomies
VA0101278368207N00000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology