Individual
STACEY MULRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7322 W RAWSON AVE, FRANKLIN, WI 53132-8117
(414) 433-9010
(414) 433-9007
Mailing address
1740 N PALMER ST, MILWAUKEE, WI 53212-3928
(616) 581-2595
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
81863-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437779527
—
WI
Enumeration date
04/20/2020
Last updated
02/14/2024
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