Individual
KENNETH THEODORE STUETTGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1501 AIRPORT RD, WAUKESHA, WI 53188-2461
(262) 443-1373
Mailing address
1501 AIRPORT RD, WAUKESHA, WI 53188-2461
(262) 443-1373
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
232988
WI
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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