Individual
DR. STEPHEN PATRICK MCAVOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3040 N 117TH ST STE 200, WAUWATOSA, WI 53222-4129
(414) 778-0070
Mailing address
3040 N 117TH ST STE 200, WAUWATOSA, WI 53222-4129
(414) 778-0070
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
46580-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689775785
—
WI
05
—
34815000
—
WI
Enumeration date
09/25/2006
Last updated
07/21/2022
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