| Doctor Name: | JAMES STEVENS |
| NPI Number: | 1104260579 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 63522-20 |
| Business Practice Address: | 8701 W Watertown Plank Rd Milwaukee, WI - 532263548 |
| Business Phone Number: | 4148823893 |
| Business Fax Number: | |
| Mailing Address: | 8701 W Watertown Plank Rd, MILWAUKEE |
| State: | WI |
| Postal Code: | 532263548 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/29/2013 |
| NPI Last Update Date: | 06/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 63522-20 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |