Individual
MS. STEVEN R SEWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
840 N 87TH ST, ORAL AND MAXILLOFACIAL SURGERY, MILWAUKEE, WI 53226-3586
(414) 805-5781
(414) 259-9115
Mailing address
840 N 87TH ST, ORAL AND MAXILLOFACIAL SURGERY, MILWAUKEE, WI 53226-3586
(414) 805-5781
(414) 259-9115
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5002150
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000135H
HUMANA
—
05
—
1821042706
—
WI
Enumeration date
05/22/2006
Last updated
09/25/2014
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