Stephanie Guest, PA
Physician Assistant in Rice Lake, WI. Individual provider (NPI-1).
NPI number1750861191
StatusActive
Last updated in NPPESApr 5, 2021
Details
- NPI
- 1750861191
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Guest
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2018
- Certification date
- Apr 5, 2021
- Last updated
- Apr 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 4496-23 | WI | Yes |
Practice location
1700 W Stout StRice Lake, WI 54868
Phone 715-236-8100
Mailing address
1677 27th StRice Lake, WI 54868-8759
Phone 715-296-0237
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