Individual
DONNA WAGONER-STUMPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1010 JEFFORDS ST, CLEARWATER, FL 33756-4024
(727) 446-9100
(727) 446-9900
Mailing address
1010 JEFFORDS ST, CLEARWATER, FL 33756-4024
(727) 446-9100
(727) 446-9900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
D216121
FL
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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