Provider Demographics
NPI:1104881895
Name:ZACHARY, STEFAN V (DO MS)
Entity type:Individual
Prefix:
First Name:STEFAN
Middle Name:V
Last Name:ZACHARY
Suffix:
Gender:M
Credentials:DO MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WILLIAM S MIDDLETON MEMORIAL VETERANS HOSPITAL
Mailing Address - Street 2:2500 OVERLOOK TERRACE
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53705
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:WILLIAM S MIDDLETON MEMORIAL VETERANS HOSPITAL
Practice Address - Street 2:2500 OVERLOOK TERRACE
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53705
Practice Address - Country:US
Practice Address - Phone:608-770-8886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI37389-21207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery