| NPI | 1801958020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE ROBERT STEVENS Psychiatrist 414-967-4930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 34578) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |