Individual
STEPHANIE KRACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
388 DAMASCUS RD, MARYSVILLE, OH 43040-5535
(937) 578-2626
(937) 578-2627
Mailing address
388 DAMASCUS RD, MARYSVILLE, OH 43040-5535
(937) 578-2626
(937) 578-2627
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003793
OH
Other
Enumeration date
07/31/2013
Last updated
06/25/2019
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