Individual
DR. EDWIN LEE STOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 N MAYFAIR RD, SUITE 340, MILWAUKEE, WI 53226-1409
(866) 926-7632
(414) 921-4919
Mailing address
630 SHADY RIDGE CT, GRAFTON, WI 53024-9532
(866) 926-7632
(414) 921-9641
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
41620
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32587400
—
WI
Enumeration date
05/26/2006
Last updated
08/09/2007
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