Individual
MARIA MARTHA STECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
11530 W BURLEIGH ST, SPACE 110, WAUWATOSA, WI 53222
(414) 453-2275
Mailing address
12520 MAC ALISTER WAY UNIT 205, NEW BERLIN, WI 53151-8333
(414) 628-4264
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2342
WI
152WC0802X
Corneal and Contact Management Optometrist
2342
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2342
STATE LICENSE
WI
Enumeration date
03/30/2007
Last updated
11/09/2023
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