Individual
JAMES W. STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11333 W NATIONAL AVE, MILWAUKEE, WI 53227-3111
(414) 327-2295
Mailing address
11333 W NATIONAL AVE, MILWAUKEE, WI 53227-3111
(414) 327-2295
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2730
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2730
WI P.T. LICENSE
WI
05
—
40251700
—
WI
Enumeration date
09/19/2007
Last updated
09/19/2007
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