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NPI Code Detail

MEDICARE: STEPHEN WEISSHAPPEL

MEDICARE:   STEPHEN  WEISSHAPPEL
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
1183500000XPharmacist20065-40WI

General Provider Information

NPI Number : 1215562673
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN WEISSHAPPEL
Provider Business Mailing Address
First Line : 8661 N PORT WASHINGTON RD
Second Line :
City : MILWAUKEE
State : WI
Zip : 53217-2209
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8661 N PORT WASHINGTON RD
Second Line :
City : MILWAUKEE
State : WI
Zip : 53217-2209
Country : US
Telephone Number : 414-540-6836
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2020
Last Update Date : 03/05/2020

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Directions to “ STEPHEN WEISSHAPPEL ” Practice Location

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