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Chloe Stady, PA-C

Physician Assistant, Medical in Wauwatosa, WI. Individual provider (NPI-1).

NPI number1306331822
StatusActive
Last updated in NPPESJun 27, 2018

Details

NPI
1306331822
Entity type
Individual (NPI-1)
Name
Chloe Stady
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Jun 27, 2018
Last updated
Jun 27, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, Medical439823WIYes

Practice location

10625 W North Ave
Wauwatosa, WI 53226-2315

Phone 414-877-5360

Mailing address

1718 N Prospect Ave Apt 9
Milwaukee, WI 53202-1969

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