MEDICARE: ANTOINETTE MARIA STEWART

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172V00000X	Community Health Worker		WI

General Provider Information

NPI Number	:	1225989841
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTOINETTE MARIA STEWART

Provider Business Mailing Address
First Line	:	8929 W DOGWOOD ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53224-4015
Country	:	US
Telephone Number	:	414-915-7850
Fax Number	:	414-915-7850

Provider Business Practice Location Address
First Line	:	3026 W CONCORDIA AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53216-3853
Country	:	US
Telephone Number	:	414-915-7850
Fax Number	:	414-915-7850

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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Directions to “ ANTOINETTE MARIA STEWART ” Practice Location

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