Organization
STILLWATERS CANCER SUPPORT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY BAUMANN (ASSOCIATE EXECUTIVE DIRECTOR)
(262) 524-4149
Entity
Organization
Contact information
Practice address
2607 N GRANDVIEW BLVD STE 108, WAUKESHA, WI 53188-1690
(262) 548-9148
(262) 513-5731
Mailing address
2607 N GRANDVIEW BLVD STE 108, WAUKESHA, WI 53188-1690
(262) 548-9148
(262) 513-5731
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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