Individual
COLIN G STAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-1000
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(262) 434-1000
(262) 434-5050
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
66230-20
WI
208VP0014X
Interventional Pain Medicine Physician
Primary
66230
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100060135
—
WI
Enumeration date
03/30/2015
Last updated
11/24/2021
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