MEDICARE: DR. ANGELA ROSE STUELAND DC

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
1	111N00000X	Chiropractor	4416-012	WI

General Provider Information

NPI Number	:	1871757138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANGELA ROSE STUELAND DC

Provider Business Mailing Address
First Line	:	2332 N FARWELL AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53211-4401
Country	:	US
Telephone Number	:	414-223-4550
Fax Number	:	414-223-4148

Provider Business Practice Location Address
First Line	:	2332 N FARWELL AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53211-4401
Country	:	US
Telephone Number	:	414-223-4550
Fax Number	:	414-223-4148

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/16/2008
Last Update Date	:	12/29/2010

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