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General NPI Number Information
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NPI Number | 1447223037
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Entity Type | Individual
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Provider Name | KATHERINE R. STEVENSON M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 02/02/2017
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Provider Practice Location Address
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Address Line | 725 AMERICAN AVE FL 3 PROHEALTH CARE MEDICAL ASSOCIATES, INC.
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City | WAUKESHA
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State | WI
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Zip | 53188-5031
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Country | US
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Telephone | 262-928-2594
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Fax |
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Provider Business Mailing Address
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Address Line | 725 AMERICAN AVE FL 3 PROHEALTH CARE WOMEN'S CENTER
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City | WAUKESHA
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State | WI
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Zip | 53188-5031
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Country | US
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Telephone | 262-928-2594
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | 38174
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 38174
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License Number State | WI
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