| NPI | 1841548336 |
|---|---|
| Former Name | STEPHANIE M STUEBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 2997) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: WI 2997) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-08-15 |