| NPI | 1962631309 |
|---|---|
| Former Name | STACY SCHEIBELHUT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: MI 5101022138) |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: OH 34.010682) |
| 207Q00000X Family Medicine (Licence: OH 34.010682) | |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2023-11-27 |