GRANT A STOVER M.D. NPI 1164513073

NPI Information

  • NPI: 1164513073
  • Provider Name: GRANT A STOVER, M.D.
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • Address: 111 E WISCONSIN AVE
    MILWAUKEE, WI
    ZIP 53202
  • Phone: (414) 290-6720

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NPI Details

Grant A Stover, M.D. is an emergency medicine in Milwaukee, WI. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Grant A Stover, M.D. NPI is 1164513073. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

111 E WISCONSIN AVE
MILWAUKEE, WI
ZIP 53202-815
Phone: (414) 290-6720
Fax: (414) 290-6755

The enumeration date for this NPI number is 9/27/2006 and was last updated on 4/29/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency Medicine50389-020WISCONSINNo
2207P00000XEmergency Medicine036076873ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1K30855MEDICARE PINILLINOIS
2E24627MEDICARE UPIN
30060-32350MEDICARE PINWISCONSIN
4036076873MEDICAIDILLINOIS
50060-32280MEDICARE PINWISCONSIN
6207P00000XMEDICAIDWISCONSIN
70021-16345MEDICARE PINWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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