Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 01030273A | MO |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 270910-20 | WI |
N | 2081P2900X | Pain Medicine | 270910-20 | WI |
N | 2084N0400X | Neurologist | 270910-20 | WI |
N | 2084N0600X | Clinical Neurophysiologist | 270910-20 | WI |
NPI | 1316059272 |
---|---|
Provider Name | Dr. William Arnold Stewart |
First Address | Wauwatosa, WI 53226-1403 |
Second Address | Wauwatosa, WI 53226-1403 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
21280000 | (05) | WI |
31442000 | (05) | WI |
AS1186635 | DEA (01) | WI |
B56886 | (02) | WI |