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Organization

GLENDALE ANESTHESIA PROVIDERS SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOAN L STETZER MD (PRESIDENT)
(414) 365-3210
Entity
Organization

Contact information

Practice address
7007 N RANGE LINE RD, MILWAUKEE, WI 53209-2620
(414) 352-3341
(414) 247-4588
Mailing address
4555 W SCHROEDER DR, #170, MILWAUKEE, WI 53223-1475
(414) 365-3210
(414) 365-3225

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
03/11/2009
Last updated
07/07/2014
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