| Stellar Care | |
|
10625 W North Ave Ste 230 Milwaukee WI 53226-2315 | |
| (414) 249-5698 | |
| (320) 207-5719 |
| Full Name | Stellar Care |
|---|---|
| Speciality | Clinic/center |
| Location | 10625 W North Ave Ste 230, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Shanna Marie Johnson (PRESIDENT) |
| Authorized Official Contact | 4145730179 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stellar Care 10625 W North Ave Ste 230 Wauwatosa WI 53226-2315 Ph: (414) 249-5698 | Stellar Care 10625 W North Ave Ste 230 Milwaukee WI 53226-2315 Ph: (414) 249-5698 |
| NPI Number | 1750958104 |
|---|---|
| Provider Enumeration Date | 06/04/2021 |
| Last Update Date | 05/30/2024 |
| Certification Date | 05/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750958104 | NPI | - | NPPES |
| 1386940575 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| 363LF0000X | Nurse Practitioner - Family | () | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | () | Secondary |
Community Based Residential Facility Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3910 W Burleigh St, Milwaukee, WI 53210 Phone: 414-445-3607 Fax: 414-445-6575 |
Healing Center of Milwaukee Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5800 W Forest Home Ave, Milwaukee, WI 53220 Phone: 414-323-3513 |
Muhammad Akbar MD LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2900 W Oklahoma Ave, Milwaukee, WI 53215 Phone: 414-365-3210 Fax: 414-365-3225 |
La Clinica Latina LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1238 S Cesar E Chavez Dr, Milwaukee, WI 53204 Phone: 414-645-6666 Fax: 414-645-6732 |
Medzone LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1919 W North Ave Ste 150, Milwaukee, WI 53205 Phone: 414-395-0009 |
Jeremias B. Vinluan M.D. S.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 756 N 35th St, Suite 204, Milwaukee, WI 53208 Phone: 414-342-2606 Fax: 414-342-0789 |