Basic Information
| Provider Information | |||||||||
| NPI: | 1972667160 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | EVELHOCH | ||||||||
| FirstName: | STEVEN | ||||||||
| MiddleName: | R | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 752 N HIGH POINT RD | ||||||||
| Address2: | |||||||||
| City: | MADISON | ||||||||
| State: | WI | ||||||||
| PostalCode: | 537172236 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6088244000 | ||||||||
| FaxNumber: | 6088244868 | ||||||||
| Practice Location | |||||||||
| Address1: | 752 N HIGH POINT RD | ||||||||
| Address2: | |||||||||
| City: | MADISON | ||||||||
| State: | WI | ||||||||
| PostalCode: | 53717 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6088244000 | ||||||||
| FaxNumber: | 6088244868 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/21/2006 | ||||||||
| LastUpdateDate: | 08/27/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2086S0122X | 37013 | IA | N | Allopathic & Osteopathic Physicians | Surgery | Plastic and Reconstructive Surgery | 1223S0112X | 9125 | TN | N | Dental Providers | Dentist | Oral and Maxillofacial Surgery | 1223S0112X | 08452 | IA | N | Dental Providers | Dentist | Oral and Maxillofacial Surgery | 204E00000X | S16 | MN | N | Allopathic & Osteopathic Physicians | Oral & Maxillofacial Surgery | 204E00000X | 37013 | IA | N | Allopathic & Osteopathic Physicians | Oral & Maxillofacial Surgery | 204E00000X | 43784 | TN | N | Allopathic & Osteopathic Physicians | Oral & Maxillofacial Surgery | 208200000X | 58017 | MN | N | Allopathic & Osteopathic Physicians | Plastic Surgery | 2086S0122X | 43784 | TN | N | Allopathic & Osteopathic Physicians | Surgery | Plastic and Reconstructive Surgery | 207Y00000X | 42940-20 | WI | Y | Allopathic & Osteopathic Physicians | Otolaryngology |
No ID Information.