Jerrel L Stanley in Milwaukee - Family Medicine

Jerrel L Stanley - NPI 1073547949

Jerrel L Stanley is a Family Medicine in Milwaukee, Wisconsin. Jerrel L Stanley practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jerrel L Stanley is 1073547949. The last update date is 2010-12-29.

Jerrel L Stanley's current location address is 3003 W Good Hope Road, Milwaukee, Wisconsin. You can contact this provider via phone number 4143523100. The mailing address for Jerrel L Stanley is 3003 W Good Hope Road, Milwaukee, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerrel L Stanley
Address 3003 W Good Hope Road, Milwaukee, Wisconsin
Phone Number 4143523100
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1073547949
Provider Enumeration Date 2006-07-10
Last Updated Date 2010-12-29

Provider Mailing Address Detail

Address 3003 W Good Hope Road
City Milwaukee
State Wisconsin (WI)
Post Code 53209
Phone Number 4143523100
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 22544
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00451316 WI RR MEDICARE
30387500 WI --

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FAQs about Jerrel L Stanley

What is the unique 10-digit identifier code issued to Jerrel L Stanley by the Centers for Medicare & Medicaid Services?

The Jerrel L Stanley has been assigned the NPI (National Provider Identifier) 1073547949 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Jerrel L Stanley?

The Jerrel L Stanley is physically situated at 3003 W Good Hope Road, in the city of Milwaukee, state of WI, with the postal code 53209.

What is Jerrel L Stanley's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jerrel L Stanley is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.

On what date did Jerrel L Stanley receive its 1073547949 assignment from the Centers for Medicare & Medicaid Services?

The Jerrel L Stanley was assigned its 1073547949 on 2006-07-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Jerrel L Stanley most recently updated or revised?

The information pertaining to Jerrel L Stanley, including its address, specialty, and other relevant details, was last updated or revised on 2010-12-29.

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