Individual
MR. JEFFREY ERICH STUBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 RIVERVIEW AVE, WAUKESHA, WI 53188-3632
(262) 548-7246
Mailing address
523 N 113TH ST, WAUWATOSA, WI 53226-4025
(262) 548-7246
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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