Courtney Stack's National Provider Identifier (NPI) Details
Courtney Stack,
NPI: 1043685712
Enumeration Date: 2015-12-07
Last updated: 2022-10-20
Sole Proprietor: NO
Status: active
Postal Address: 1812 E HOWARD AVE, MILWAUKEE, WI
Phone: 708-439-6893
Primary Practice Address: 210 W CAPITOL DR, MILWAUKEE, WI
Practice's phone: 414-727-6320