Bruce R Stevens Md Sc

LBN: Bruce R Stevens Md Sc
Bruce R Stevens Md Sc is an health care organization with primary practice located at 1601 E Blackthorne Pl , Milwaukee WI 53211-1139. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Bruce R Stevens Md Sc can be contacted via phone (414) 967-4930, or through Stevens, Bruce Robert via phone (414) 967-4930.

Contact Information

Primary practice address
1601 E Blackthorne Pl Milwaukee WI 53211-1139
Phone: (414) 967-4930
Fax: (414) 967-5730
Website:
Map and Directions
Authorized official contact:
Name: Stevens, Bruce Robert Doctor of Medicine (MD)
Phone: (414) 967-4930

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 34578 Wisconsin

Profile Details

NPI number 1801958020
LBN Legal business name Bruce R Stevens Md Sc
DBA Doing business as
Authorized official Stevens, Bruce Robert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801958020 NPPES
Wisconsin MEDICAID 31971700

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