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Individual
MS. STEPHANIE KATARINA PETSCHAUER
Active
Individual
MS. STEPHANIE KATARINA PETSCHAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MA0619857
PA
363AS0400X
Surgical Physician Assistant
Primary
MA0619857
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA061857
STATE LICENSE
PA
Enumeration date
09/20/2020
Last updated
03/24/2025
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