Stephanie J Slock, MD | |
8905 W Lincoln Ave Ste 409, West Allis, WI 53227-2469 | |
(414) 328-8770 | |
Not Available |
Full Name | Stephanie J Slock |
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Gender | Female |
Speciality | Pediatrics |
Location | 8905 W Lincoln Ave Ste 409, West Allis, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033278478 | NPI | - | NPPES |
100004140 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 51242 (Wisconsin) | Primary |
Entity Name | Aurora Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Entity Name | Lakeshore Medical Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
Mailing Address | Practice Location Address |
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Stephanie J Slock, MD 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 389-2338 | Stephanie J Slock, MD 8905 W Lincoln Ave Ste 409, West Allis, WI 53227-2469 Ph: (414) 328-8770 |
Dr. Lisa M Stukenberg, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 555 S 108th St, West Allis, WI 53214 Phone: 414-566-6400 Fax: 414-566-3866 | |
Elizabeth W Ciurlik, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-6000 | |
Feridoun Beroukhim, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2424 S 90th St, Ste 504, West Allis, WI 53227 Phone: 414-328-8670 | |
Michael A Johnson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 801 S 70th St, West Allis, WI 53214 Phone: 414-773-6600 Fax: 414-773-6656 | |
Andrew P Swietlik, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2323 S 102nd St, West Allis, WI 53227 Phone: 414-541-9900 |