Individual
DANA STOCKHAUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2520 N 124TH ST, APT# 100, WAUWATOSA, WI 53226-1069
(414) 416-4220
Mailing address
2520 N 124TH ST, APT# 100, WAUWATOSA, WI 53226-1069
(414) 416-4220
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
224560-30
WI
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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