Individual
KEITH D STUEVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
402 W LAKE ST, FRIENDSHIP, WI 53934-9699
(608) 339-6350
Mailing address
402 W LAKE ST, FRIENDSHIP, WI 53934-9699
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
7166
WI
Other
Enumeration date
04/12/2022
Last updated
04/04/2023
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