Individual
STEPHANIE M GRAMLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
329 S PLEASANT AVE, SOMERSET, PA 15501-2262
(814) 445-3575
Mailing address
329 S PLEASANT AVE, SOMERSET, PA 15501-2262
(814) 445-3575
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110006198
VA
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
MA064176
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA064176
MEDICAL LICENSE
PA
Enumeration date
06/06/2018
Last updated
03/15/2023
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