STACY FAIRBANKS

MILWAUKEE, WI
NPI1730389644
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: WI  73410)
Additional Taxonomies207L00000X Anesthesiology
(Licence: CO  51301)
207L00000X Anesthesiology
(Licence: OR  MD151109)
Enumeration Date2007-07-19
Last Update Date2020-08-28
Business Address
Dr. STACY FAIRBANKS M.D.
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226-3522
Phone number: 414-805-8700
Mailing Address
Dr. STACY FAIRBANKS M.D.
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226-3522
Phone number: 414-805-8700