Stephen Wallace Van de Wiel

Primary specialty

PharmacistTaxonomy code 183500000X

License

9046-40 Issued in WI

Practice address

1425 E Business Highway 151
Platteville, WI 53818-3842

Phone

(608) 348-6577

Fax

(608) 348-5909

NPI assigned

Apr 5, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1124384912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 E BUSINESS HIGHWAY 151",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538183842",
            "telephone_number": "608-348-6577",
            "fax_number": "608-348-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 E BUSINESS HIGHWAY 151",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538183842",
            "telephone_number": "608-348-6577",
            "fax_number": "608-348-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DE WIEL",
        "first_name": "STEPHEN",
        "middle_name": "WALLACE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-05",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "9046-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University of Wisconsin System Non Payroll
• Upland Hills Health, Inc.
• Upland Hills Hometown Medical Equip
• April Vaassen
• Bret Charles Van Bogaert, PHARM D.
• Vannatta Chiropractic
• Mandy J Vannatta, D.C.
• Carrie Vida
• Kari Vize, MSW
• Julie Lynn Vondra

• Pharmacist in Platteville, WI
• Providers in Platteville, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.