Individual
JAMES EDWIN STOLL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
525 W RIVER WOODS PKWY STE 240, GLENDALE, WI 53212-1010
(414) 807-6128
(339) 207-0541
Mailing address
611 E LAKE HILL CT, MILWAUKEE, WI 53217-4351
(414) 962-4645
(339) 207-0541
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
26052
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30590700
—
WI
01
—
P00707813
RR MEDICARE
WI
Enumeration date
06/29/2006
Last updated
02/27/2021
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