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1073547949
JERREL L STANLEY
GERMANTOWN, WI
NPI
1073547949
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WI 22544)
Enumeration Date
2006-07-10
Last Update Date
2010-12-29
Business Address
-- JERREL L STANLEY MD
N112 W 17975 MEQUON ROAD
GERMANTOWN, WI 53022
Phone number: 262-532-7600
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Mailing Address
-- JERREL L STANLEY MD
3003 W GOOD HOPE ROAD
MILWAUKEE, WI 53209
Phone number: 414-352-3100
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