Stefan Idso
Stefan Idso is a Student in an Organized Health Care Education/Training Program in Milwaukee, Wisconsin. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1801 W Wisconsin AveMilwaukee, WI 53233-2186
Phone: (414) 534-5686
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1184205866 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 15, 2021 |
| Last updated in NPPES | April 15, 2021 |
| Certification date | April 15, 2021 |
| Mailing address | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 |
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