Individual
AMY STASIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MS
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-6450
(414) 955-0082
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-6450
(414) 955-0082
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
85653
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962083303
—
WI
Enumeration date
04/17/2021
Last updated
07/11/2025
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