Individual
JULIE C STUBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7878 N 76TH ST, MILWAUKEE, WI 53223-3914
(414) 354-6434
(414) 586-5745
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6482
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36188900
—
WI
01
—
P01063883
RR MEDICARE
WI
Enumeration date
09/03/2008
Last updated
09/18/2024
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