Individual
DR. STEPHANIE L WHITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1215 GEORGE TOWNE DRIVE, PEWAUKEE, WI 53072-2731
(262) 691-3849
(262) 691-4287
Mailing address
9000 W WISCONSIN AVE # MS 958, MILWAUKEE, WI 53226-4874
(414) 266-7615
(414) 266-6238
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
47780
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609826999
—
WI
Enumeration date
05/10/2006
Last updated
02/13/2019
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