Individual
NENA ANN STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2514 S 102ND ST STE 160, WEST ALLIS, WI 53227-2142
(414) 255-0304
Mailing address
2514 S 102ND ST STE 160, WEST ALLIS, WI 53227-2142
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
56658
WI
Other
Enumeration date
04/14/2009
Last updated
01/08/2016
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