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Individual

STUART M FELDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
111 E WISCONSIN AVE, SUITE 2000, MILWAUKEE, WI 53202-4815
(414) 290-6720
(414) 290-6755
Mailing address
111 E WISCONSIN AVE, SUITE 2000, MILWAUKEE, WI 53202-4815
(414) 290-6720
(414) 290-6755

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036102929
IL
207P00000X
Emergency Medicine Physician
Primary
44370-021
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036102929
IL
05
34221700
WI
01
930122962
MEDICARE RAILROAD
WI
01
930123610
MEDICARE RAILROAD
WI
01
P00139307
MEDICARE RAILROAD
IL
Enumeration date
05/17/2006
Last updated
10/27/2023
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