Individual
RONNIE STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2419 W VIENNA AVE, MILWAUKEE, WI 53206-1442
(414) 241-9589
Mailing address
2419 W VIENNA AVE, MILWAUKEE, WI 53206-1442
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
WI
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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