STEPHAN WHITAKER

MILWAUKEE, WI
NPI1609522853
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: WI  0018441)
Enumeration Date2022-02-25
Last Update Date2022-02-25
Business Address
STEPHAN WHITAKER
4900 W JOLENO CT
MILWAUKEE, WI 53223-1413
Phone number: 414-975-3861
Mailing Address
STEPHAN WHITAKER
4900 W JOLENO CT
BROWN DEER, WI 53223-1413
Phone number: 414-975-3861
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