Individual
PAUL STAMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1020 OCONOMOWOC PKWY, OCONOMOWOC, WI 53066-4613
(262) 567-8386
Mailing address
1801 W WISCONSIN AVE, MILWAUKEE, WI 53233-2186
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WI
Other
Enumeration date
05/02/2020
Last updated
05/02/2020
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