Individual
DR. DEAN EDWARD STOLLDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYCHOLOGIST
Contact information
Practice address
441 MILWAUKEE AVE STE 2, BURLINGTON, WI 53105-1230
(262) 767-0440
(262) 767-0777
Mailing address
441 MILWAUKEE AVE STE 2, BURLINGTON, WI 53105-1230
(262) 767-0440
(262) 767-0777
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1243057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39071100
—
WI
Enumeration date
04/17/2006
Last updated
11/02/2010
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