Individual
MRS. MARIE STOCKWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
194 THOMAS JOHNSON DR, FREDERICK, MD 21702-4679
(240) 215-6310
Mailing address
400 W 7TH ST, FREDERICK, MD 21701-4506
(240) 439-8913
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C04073
MD
Other
Enumeration date
10/15/2009
Last updated
01/09/2023
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