NPI 1962406520 · live from the CMS NPI Registry
Stephen J Brubaker, MD
Ophthalmology in La Crosse, WI. National Provider Identifier 1962406520, active.
NPI record
| NPI | 1962406520 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 1836 South Ave, La Crosse, WI 54601 |
| Practice phone | 608-782-7300 |
| Enumerated | June 10, 2005 |
| Last updated | July 13, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | 20594 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.