Individual
MR. STEPHEN ROY TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY, SUITE # 540, MILWAUKEE, WI 53215-3669
(414) 385-2461
Mailing address
2641 N 67TH ST, WAUWATOSA, WI 53213-1444
(414) 897-8261
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2101
WI
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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