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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARTAVIA STANFORD, LABORATORY DIRECTOR

Active

MARTAVIA STANFORD, LABORATORY DIRECTOR is a 247ZC0005X healthcare provider located in BROOKFIELD, Wisconsin. NPI 1548985930 is currently active in the NPPES registry. Verify at CMS.

247ZC0005X · BROOKFIELD, WI

Registration Details

NPI Number
1548985930
Provider Type
Individual
Gender
Female
NPI Issued
Oct 7, 2022 (3.7084391706431 yrs)
Last Updated
Oct 7, 2022
License
52D2261520 (WI)

Practice Information

Address
120 BISHOPS WAY STE 165
BROOKFIELD, WI, 530056249
Browse WI providers · Browse ZIP 53005
Phone
4143555525
Fax
4142404595
Primary Specialty
247ZC0005X
247ZC0005X
Additional Specialty
Adult Companion
Additional Specialty
Home Health Aide
Additional Specialty
Homemaker
Additional Specialty
247ZC0005X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.