Rachael S Stade PA

NPI 1699719914 - Physician Assistant - 363A00000X

NPI Details
NPI 1699719914
Gender Female
Enumeration Date 06/16/2006
Last Updated 12/11/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
1414 W. FAIR AVENUE
SUITE 201
MARQUETTE MI, 49855, US
Phone (906) 225-4500
Fax (906) 225-3919
Business Location
1414 W. FAIR AVENUE
SUITE 201
MARQUETTE MI, 49855, US
Phone (906) 225-4500
Fax (906) 225-3919
Toxanomy
Taxonomy Code 363A00000X
License State Michigan
License Number 5601004556
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According to our database, Rachael S Stade PA NPI is 1699719914, taxonomy code is 363A00000X and license number is 5601004556, license state is located at Michigan. Rachael S Stade PA physically located at 1414 W. Fair Avenue, Marquette MI, 49855. NPI Number Rachael S Stade PA has the Individual type.

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1699719914 NPI number is provided on an as is basis without warranty of any kind. 1699719914 is maintained by the National Plan & Provider Enumeration System. The contents of Rachael S Stade PA are for informational purposes only.