Individual
MICHAEL STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1512 E IRVING PL, MILWAUKEE, WI 53202-1018
(608) 669-6302
Mailing address
1512EIRVINGPL, MILWAUKEE, WI 53202
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
325839
WI
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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