Organization
VISITING MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT STOLLENWERK (OWNER)
(262) 691-1000
Entity
Organization
Contact information
Practice address
2426 N GRANDVIEW BLVD STE D, WAUKESHA, WI 53188-6905
(262) 720-7060
(262) 446-3760
Mailing address
347 PARK AVE, PEWAUKEE, WI 53072-3413
(262) 691-1000
(262) 264-5429
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
213E00000X
Podiatrist
681-25
WI
Other
Enumeration date
09/14/2011
Last updated
04/25/2013
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