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Stephan Whitaker
NPI 1609522853 · on the registry since 2022 · sole proprietor
Practice
- Address
- 4900 W Joleno Ct
Milwaukee, WI 53223 - Phone
- (414) 975-3861
Registry record
- Primary taxonomy
- Adult Care Home Facility
311ZA0620X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-02-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin