Individual
STEPHEN JAMES MOLITOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(262) 432-6600
(262) 432-6604
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(262) 432-6600
(262) 432-6604
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3968
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497325294
—
WI
Enumeration date
06/25/2021
Last updated
07/30/2021
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