Individual
KATHERINE R. STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
725 AMERICAN AVE FL 3, PROHEALTH CARE MEDICAL ASSOCIATES, INC., WAUKESHA, WI 53188-5031
(262) 928-2594
Mailing address
725 AMERICAN AVE FL 3, PROHEALTH CARE WOMEN'S CENTER, WAUKESHA, WI 53188-5031
(262) 928-2594
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
38174
WI
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
38174
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32283900
—
WI
Enumeration date
02/13/2006
Last updated
02/02/2017
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