Individual
STEPHENIE JO QUIRKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY STE 250, MILWAUKEE, WI 53215-3678
(414) 649-6732
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 649-6732
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
80103-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100211282
—
WI
Enumeration date
04/07/2020
Last updated
08/29/2024
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