Individual
COURTNEY STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 649-6000
(414) 649-5296
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
539
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100256462
—
WI
Enumeration date
10/11/2023
Last updated
01/24/2024
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