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NPI Code Detail

MEDICARE: MR. SCOTT E STAMN PT

MEDICARE: MR. SCOTT E STAMN PT
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
1225100000XPhysical Therapist4259WI
2225100000XPhysical Therapist1295024WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558480574
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SCOTT E STAMN PT
Provider Business Mailing Address
First Line : 3301 W FOREST HOME AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53215-2843
Country : US
Telephone Number : 414-449-2114
Fax Number : 414-449-9299
Provider Business Practice Location Address
First Line : 5818 W CAPITOL DR
Second Line :
City : MILWAUKEE
State : WI
Zip : 53216-2247
Country : US
Telephone Number : 414-449-2114
Fax Number : 414-449-9299
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2007
Last Update Date : 12/08/2021

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