Stefan Michael Brettfeld, D.O.
Pathology, Anatomic Pathology & Clinical Pathology in La Crosse, WI. Individual provider (NPI-1).
NPI number1154718005
StatusActive
Last updated in NPPESJul 29, 2020
Details
- NPI
- 1154718005
- Entity type
- Individual (NPI-1)
- Name
- Stefan Michael Brettfeld
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 17, 2015
- Certification date
- Jul 29, 2020
- Last updated
- Jul 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | 94-321 | WI | Yes |
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | 65094 | MN | |
| 390200000X | Student in an Organized Health Care Education/Training Program | R-13-2015 | NM |
Practice location
1836 South AveLa Crosse, WI 54601-5429
Phone 608-782-7300
Mailing address
1836 South AveLa Crosse, WI 54601-5429
Other practice locations
200 1st St Sw
Rochester, MN 55905
Rochester, MN 55905
Phone 507-284-2511
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