Stephan Whitaker
Stephan Whitaker is an Adult Care Home Facility in Milwaukee, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2022
Practice location Address checks out
4900 W Joleno CtMilwaukee, WI 53223-1413
Phone: (414) 975-3861
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Care Home Facility (primary) | Taxonomy 311ZA0620X · Licence 0018441 (WI) |
|---|
Record details
| NPI number | 1609522853 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 25, 2022 |
| Last updated in NPPES | February 25, 2022 |
| Certification date | February 25, 2022 |
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