Individual
MRS. STEPHANIE KAY MCDEARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2424 S 90TH ST STE 200, WEST ALLIS, WI 53227-2455
(414) 328-8777
Mailing address
2424 S 90TH ST STE 200, WEST ALLIS, WI 53227-2455
(414) 328-8777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
64588-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2014
Last updated
07/21/2022
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