Individual
MELISSA R STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2454 N 40TH STREET, MILWAUKEE, WI 53210
(414) 840-3115
Mailing address
2454 N 40TH STREET, MILWAUKEE, WI 53210
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
118470030
WI
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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