Individual
STEPHEN J SUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6831
(414) 649-7850
Mailing address
8901 W LINCOLN AVE, WEST ALLIS, WI 53227-2477
(414) 328-7950
(414) 328-8505
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
46277
WI
Other
Enumeration date
07/09/2006
Last updated
07/09/2010
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