Healthcare Provider Details
I. General information
NPI: 1982601704
Provider Name (Legal Business Name): STEVEN LOUIS ARMUS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/07/2005
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2906 S 20TH ST
MILWAUKEE WI
53215-3732
US
IV. Provider business mailing address
PO BOX 778789
CHICAGO IL
60677-8789
US
V. Phone/Fax
- Phone: 414-672-1353
- Fax:
- Phone: 414-672-1353
- Fax: 624-085-0942
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207N00000X |
| Taxonomy | Dermatology Physician |
| License Number | 34598 |
| License Number State | WI |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207NS0135X |
| Taxonomy | Procedural Dermatology Physician |
| License Number | 34598 |
| License Number State | WI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: