Individual
DR. GEORGE VASILIOS STOTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4855 S MOORLAND RD, NEW BERLIN, WI 53151-7494
(414) 425-5660
(414) 425-9803
Mailing address
4855 S MOORLAND RD, NEW BERLIN, WI 53151-7494
(414) 425-5660
(414) 425-9803
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
73768-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629539499
—
WI
Enumeration date
03/26/2019
Last updated
04/12/2022
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