Individual
REBECCA STEPHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2906 S 20TH ST, MILWAUKEE, WI 53215-3732
(414) 672-1353
Mailing address
1032 S CESAR E CHAVEZ DR, MILWAUKEE, WI 53204-2203
(414) 627-1353
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1670333
WI
363LF0000X
Family Nurse Practitioner
Primary
1670333
WI
363LF0000X
Family Nurse Practitioner
209.022502
IL
Other
Enumeration date
12/21/2020
Last updated
07/20/2026
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