Individual
STACY MICHELLE SYRCLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8905 W LINCOLN AVE, SUITE 501, WEST ALLIS, WI 53227-2468
(414) 978-2229
(414) 978-2279
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036-135033
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
67167-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036135033 1
—
IL
05
—
100043207
—
WI
Enumeration date
06/14/2010
Last updated
03/19/2024
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