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NPI Code Detail

MEDICARE: STEPHANIE BALSMAN PHARMD

MEDICARE:   STEPHANIE  BALSMAN  PHARMD
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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist20380-40WI

General Provider Information

NPI Number : 1336757020
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE BALSMAN PHARMD
Provider Business Mailing Address
First Line : 6950 W STATE ST
Second Line :
City : WAUWATOSA
State : WI
Zip : 53213-2813
Country : US
Telephone Number : 414-475-7181
Fax Number :
Provider Business Practice Location Address
First Line : 6950 W STATE ST
Second Line :
City : WAUWATOSA
State : WI
Zip : 53213-2813
Country : US
Telephone Number : 414-475-7181
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2020
Last Update Date : 01/21/2021

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Directions to “ STEPHANIE BALSMAN PHARMD” Practice Location

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