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1316117500
STEPHANIE R SMULLEN
GREEN BAY, WI
NPI
1316117500
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Former Name
STEPHANIE RUNKE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 2242)
Enumeration Date
2008-03-04
Last Update Date
2023-08-02
Business Address
STEPHANIE R SMULLEN PA-C
2845 GREENBRIER RD STE 240
GREEN BAY, WI 54311-6519
Phone number: 920-288-8280
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Mailing Address
STEPHANIE R SMULLEN PA-C
2845 GREENBRIER RD STE 240 PO BOX 8900
GREEN BAY, WI 54308-8900
Phone number: 920-288-8280
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