Individual
DR. STACY NICOLE SOPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY, FAMILY PRACTICE CLINIC ANTICOAGULATION CLINIC, MILWAUKEE, WI 53215-3669
(414) 649-7810
(414) 649-5437
Mailing address
2900 W OKLAHOMA AVE, OUTPATIENT PHARMACY, MILWAUKEE, WI 53215-4330
(414) 649-6063
(414) 649-5367
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13742-040
WI
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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