DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. STEPHANIE L BANTELL, MD

Active

DR. STEPHANIE L BANTELL, MD is a Family Medicine healthcare provider located in BLACK RIVER FALLS, Wisconsin. NPI 1225314131 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · BLACK RIVER FALLS, WI

Registration Details

NPI Number
1225314131
Provider Type
Individual
Gender
Female
NPI Issued
Oct 25, 2011 (14.817205624744 yrs)
Last Updated
Jun 30, 2025
Licenses
57440-20 (WI)
3928-850 (WI)
57440-20 (WI)
41109 (IA)

Practice Information

Address
610 W ADAMS ST
BLACK RIVER FALLS, WI, 54615
Browse WI providers · Browse ZIP 54615
Phone
7152844311
Fax
7152840475
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
Additional Specialty
Family Medicine

Other Family Medicine Providers in BLACK RIVER FALLS, WI

Name Credential NPI
KATRINA K MCGILLIVRAY DO 1578521571
CAROL A MARTIN MD 1326084690
MICHAEL A MAHAN M.D. 1922038892
JEROME C KITOWSKI M.D. 1467482497
JEFFREY K POLZIN M.D. 1205866191
MR. ETSON CAMERON M.D. 1811929433
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.