Lifesteps Wellness Clinic

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LIFESTEPS WELLNESS CLINIC

Practice address

4601 N Oakland Ave
Shorewood, WI 53211-1232

Phone

(414) 643-4430

Fax

(414) 643-4693

NPI assigned

Oct 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gojko Stula, MDNPI 1235123712

Title

Owner

Phone

(414) 643-4430

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gojko D. Stula, M.D.

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1235123712
  NPD (past) Authorized official

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1104005248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3238 S 16TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154535",
            "telephone_number": "414-643-4430",
            "fax_number": "414-643-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 N OAKLAND AVE",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532111232",
            "telephone_number": "414-643-4430",
            "fax_number": "414-643-4693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTEPS WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "STULA",
        "authorized_official_first_name": "GOJKO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-643-4430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Reisener Counseling Services, LLC
• Hayley Leair, REGISTERED NURSE
• Shalonda Renee Leflore, MSW, LCSW
• Ryan Lehner
• Jennifer Ann Liermann-Wessel
• Madeline Elizabeth Ling, MA, LPC
• Alyson E.K. Lippman, APN
• Robert Joseph Lueger, PH.D.
• Aidanne Leigh Macdonald-Milewski, ND
• Richard Charles Maedke, D.C.

• Internal Medicine Physician in Shorewood, WI
• Providers in Shorewood, WI by specialty
• Internal Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.