Provider Demographics
NPI:1992099402
Name:BURGER, STEPHANIE LANAE (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:LANAE
Last Name:BURGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:STEPHANIE
Other - Middle Name:LANAE
Other - Last Name:HULSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:101 TOWER RD- EAR NOSE & THROAT CONSULTANTS
Mailing Address - Street 2:STE 120
Mailing Address - City:DAKOTA DUNES
Mailing Address - State:SD
Mailing Address - Zip Code:57049
Mailing Address - Country:US
Mailing Address - Phone:605-217-4320
Mailing Address - Fax:605-217-2948
Practice Address - Street 1:4301 SERGEANT ROAD- EAR NOSE & THROAT CONSULTANTS
Practice Address - Street 2:STE 215
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51106
Practice Address - Country:US
Practice Address - Phone:605-217-4320
Practice Address - Fax:605-217-2948
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-01
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAR-9147207Y00000X
SD43079207Y00000X
IA10561207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology