EDWARD T STEVENS MD SC
Neurology at 52 St, Kenosha, WI

License number
Wisconsin 22919020
Category
Neurology
Type
Neurology
Owner
Name: MR. EDWARD TERRANCE STEVENS MD
Title: PRESIDENT
Phone: (262) 656-0006
Address
Address
600 52Nd St SUITE 240, Kenosha, WI 53140
National Provider ID: 1962521716
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about EDWARD T STEVENS MD SC at bizstanding.com

EDWARD T. STEVENS, M.D., S.C

600 52 St STE 240, Kenosha, WI 53140

Status:
Inactive
Registration:
Jul 19, 1994
State ID:
S045768
Business type:
Service Corporation

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