Individual
JAMES STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226
(414) 266-2932
(414) 266-3735
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-2932
(414) 266-3735
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
63522
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104260579
—
WI
Enumeration date
04/29/2013
Last updated
07/05/2018
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