Individual
DAVID S STOLP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2424 S. 90TH ST., STE 214, WEST ALLIS, WI 53227-2455
(414) 328-8777
(414) 328-8110
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44247-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34243900
—
WI
Enumeration date
11/01/2006
Last updated
09/09/2024
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