STEPHEN J SUP

MILWAUKEE, WI
NPI1376576561
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: WI  46277)
Enumeration Date2006-07-09
Last Update Date2010-07-09
Business Address
-- STEPHEN J SUP MD
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215-4330
Phone number: 414-649-6831
Mailing Address
-- STEPHEN J SUP MD
8901 W LINCOLN AVE
WEST ALLIS, WI 53227-2477
Phone number: 414-328-7950
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