Individual
DR. PAUL WARD STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8901 W LINCOLN AVE, WEST ALLIS, WI 53227-2409
(414) 328-6000
Mailing address
PO BOX 840271, SAINT AUGUSTINE, FL 32080-0271
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
17528
ND
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
80039
WI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME138203
FL
207RP1001X
Pulmonary Disease Physician
ME138203
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100206624
—
WI
01
—
ME138203
FLORIDA MEDICAL LICENSE
FL
01
—
PT17528
NORTH DAKOTA BOARD OF MEDICINE
ND
Enumeration date
05/03/2015
Last updated
01/31/2025
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