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Individual
MS. SUSAN K STUCK
Active
Individual
MS. SUSAN K STUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
012641
NY
363AM0700X
Medical Physician Assistant
012641
NY
363AM0700X
Medical Physician Assistant
23012641
NY
363AM0700X
Medical Physician Assistant
6027
GA
Other
Enumeration date
07/28/2008
Last updated
08/08/2025
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