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Individual
STACY KRANNER
Active
Individual
STACY KRANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9776-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40466500
—
WI
Enumeration date
02/22/2007
Last updated
11/11/2011
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