Organization
GYNECOLOGY ASSOCIATES OF WISCONSIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN MCAVOY (PRESIDENT)
(414) 213-2102
Entity
Organization
Contact information
Practice address
10900 W POTTER RD, MILWAUKEE, WI 53226-3424
(414) 213-2102
Mailing address
5315 FOX GLEN CT, NEW BERLIN, WI 53146-3935
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100034597
—
WI
05
—
100049142
—
WI
05
—
100057159
—
WI
05
—
32134000
—
WI
05
—
32536900
—
WI
05
—
34815000
—
WI
Enumeration date
04/01/2019
Last updated
04/01/2019
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