Individual
TATJANA STEVANOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11111 W OKLAHOMA AVE, WEST ALLIS, WI 53227-4033
(414) 546-8000
(414) 546-2909
Mailing address
11111 W OKLAHOMA AVE, WEST ALLIS, WI 53227-4033
(414) 546-8000
(414) 546-2909
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2508-033
WI
Other
Enumeration date
12/12/2006
Last updated
06/01/2013
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