Individual
STEPHANIE MARIE KRAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MMS
Contact information
Practice address
1155 N MAYFAIR RD, DEPARTMENT OF PLASTIC SURGERY, MILWAUKEE, WI 53226-3462
(414) 955-4263
(414) 955-6286
Mailing address
1155 N MAYFAIR RD, DEPARTMENT OF PLASTIC SURGERY, MILWAUKEE, WI 53226-3462
(414) 955-4263
(414) 955-6286
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3694-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629442124
—
WI
Enumeration date
11/20/2015
Last updated
11/15/2021
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