NPI | 1013353408 |
---|---|
Other Name | MARIE MULDOON STUEMKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: AK 1113) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AK 1113) |
Enumeration Date | 2013-05-13 |
Last Update Date | 2017-05-09 |