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Individual

PAUL FREDERICK STELLMACHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-4606
(414) 805-4608
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-4606
(414) 805-4608

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
65620
WI
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
65620
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1811250731
WI
Enumeration date
06/18/2012
Last updated
06/05/2021
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