Individual
CASANDRA L STOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
9200 W WISCONSIN AVE, DIVISION OF NEOPLASTIC DISEASES, MILWAUKEE, WI 53226-3522
(414) 805-6800
(414) 805-2934
Mailing address
9200 W WISCONSIN AVE, DIVISION OF NEOPLASTIC DISEASES, MILWAUKEE, WI 53226-3522
(414) 805-6800
(414) 805-2934
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2770
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982990750
—
WI
Enumeration date
06/21/2011
Last updated
10/01/2020
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