# STACI VASKE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1750562286
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 002264 | IA | Yes |
| 363AM0700X | Medical Physician Assistant | 2217-23 | WI | — |

## Other

- **Enumeration date:** 11/27/2007
- **Last updated:** 04/19/2012