Michael Ryan Stclair, PA-C
Physician Assistant, Medical in Hartford, CT. Individual provider (NPI-1).
NPI number1124417852
StatusActive
Last updated in NPPESMar 24, 2015
Details
- NPI
- 1124417852
- Entity type
- Individual (NPI-1)
- Name
- Michael Ryan Stclair
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 19, 2015
- Last updated
- Mar 24, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 003275 | CT | Yes |
| 363A00000X | Physician Assistant | 003275 | CT | |
| 363AS0400X | Physician Assistant, Surgical | 003275 | CT |
Practice location
80 Seymour StHartford Hospital Medicine Dept
Hartford, CT 06102-5037
Phone 860-972-2085
Mailing address
80 Seymour StreetHartford Hospital Medicine Dept
Hartford, CT 06102-5037
Phone 860-972-2085
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