Individual
RAE ANN STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1610 MILLER PARK WAY, WEST MILWAUKEE, WI 53214-3604
(414) 672-3801
Mailing address
3857 E MARTIN AVE LOWR, CUDAHY, WI 53110-1911
(414) 254-1954
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
245670
WI
Other
Enumeration date
01/20/2020
Last updated
01/20/2020
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