Individual
DR. STEPHANIE L KOHLER-NEUWIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1155 N MAYFAIR RD, DEPARTMENT OF PSYCHIATRY, WAUWATOSA, WI 53226-3462
(414) 955-8900
(414) 955-6285
Mailing address
1155 N MAYFAIR RD, DEPARTMENT OF PSYCHIATRY, WAUWATOSA, WI 53226-3462
(414) 955-8900
(414) 955-6285
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
52888
WI
208600000X
Surgery Physician
52888
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194937052
—
WI
Enumeration date
05/04/2007
Last updated
12/13/2012
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