Individual
STACIE OPAHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
W156N8327 PILGRIM RD, STE 408, MENOMONEE FALLS, WI 53051-3776
(414) 395-8106
(414) 386-0406
Mailing address
625 RIDGE DR, COLGATE, WI 53017-9527
(920) 213-8997
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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