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

STEPHAN WHITAKER

Active Sole Proprietor

Assisted Living Facility · MILWAUKEE, WI

Registration Details

NPI Number
1609522853
Provider Type
Individual
Gender
Male
NPI Issued
Feb 25, 2022 (4.1542291471752 yrs)
Last Updated
Feb 25, 2022
License
0018441 (WI)
Sole Proprietor
Yes

Practice Information

Address
4900 W JOLENO CT
MILWAUKEE, WI, 532231413
Browse WI providers · Browse ZIP 53223
Phone
4149753861
Primary Specialty
Assisted Living Facility
311ZA0620X

Other Assisted Living Facility Providers in MILWAUKEE, WI

Name Credential NPI
KENDRIC WILLIAMS 1083072078
LISA BENDER 1912553363
MRS. ESTEFANIA L OCAMPO 1912517475
SHYVON S METCALF 1861151805
CHASTITY N BERRY-ROWE 1508506627
WANDA AUSTIN 1518602788
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.