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Contact Information

STANLEY GUTIONTOV, MD
1222 N 23RD ST
SHEBOYGAN, WI53081-3171
 Phone: 920-457-6800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for STANLEY GUTIONTOV · (Male)

NPI Number 1063803963
Status Active
Credentials MD
Entity Individual
Enumeration date 02/12/2015
Last updated 08/11/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 125.069817
  • WI License # 75465
Hospital affiliation(s)
  • AURORA SHEBOYGAN MEMORIAL MED CTR - (Acute Care)
    2629 N 7TH ST
    SHEBOYGAN, WI 53083
  • AURORA ST LUKES MEDICAL CENTER - (Acute Care)
    2900 W OKLAHOMA AVE
    MILWAUKEE, WI 53215
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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