Individual
MITCHELL S STEDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-2000
(414) 219-6650
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 219-2000
(414) 219-6650
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5872
WI
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100209522
—
WI
Enumeration date
04/14/2022
Last updated
10/10/2023
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