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Stephen Andrew Moskop
Student in an Organized Health Care Education/Training Program in Wauwatosa, Wisconsin
NPI 1215668504

Stephen Andrew Moskop is a Student in an Organized Health Care Education/Training Program based in Wauwatosa, WI. Stephen Andrew Moskop practices in Wauwatosa, WI. The NPI Number for Stephen Andrew Moskop is 1215668504 and holds a License No. (Wisconsin).

The current practice location address for Stephen Andrew Moskop is 2377 N 73Rd St, Wauwatosa, WI and can be reached out via phone at 773-405-1624.

Location: 2377 N 73Rd St, Wauwatosa, WI, 53213-1209
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215668504
Provider Name
Stephen Andrew Moskop
Credential
Provider Entity Type
Individual
Gender
Male
Address
2377 N 73Rd St, Wauwatosa, WI, 53213-1209
Phone Number
773-405-1624
Fax Number
Provider Enumeration Date
06/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2377 N 73Rd St
City
Wauwatosa
State
Wisconsin
Zip
53213-1209
Phone Number
773-405-1624
Fax Number
person
Provider Business Mailing Address Details
Address
2377 N 73Rd St
City
Wauwatosa
State
Wisconsin
Zip
53213-1209
Phone Number
773-405-1624
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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