Glendale Anesthesia Providers SC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

GLENDALE ANESTHESIA PROVIDERS SC

Practice address

7007 N Range Line Rd
Milwaukee, WI 53209-2620

Phone

(414) 352-3341

Fax

(414) 247-4588

NPI assigned

Mar 11, 2009

Last updated

Jul 7, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joan L Stetzer, MD

Title

President

Phone

(414) 365-3210

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1043451651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 W SCHROEDER DR",
            "address_2": "#170",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532231475",
            "telephone_number": "414-365-3210",
            "fax_number": "414-365-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 N RANGE LINE RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532092620",
            "telephone_number": "414-352-3341",
            "fax_number": "414-247-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE ANESTHESIA PROVIDERS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-11",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "STETZER",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-365-3210",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.