Individual
ANTHONY L. STIDHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
945 N 12TH ST, SUITE 1200, MILWAUKEE, WI 53233-1305
(414) 219-3300
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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