Individual
STACY LAMAE VAN SAMBEEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
130 2ND ST, NEENAH, WI 54956-2883
(920) 725-0077
(920) 725-6535
Mailing address
PO BOX 8003, APPLETON, WI 54912-8003
(920) 996-3200
(920) 725-6535
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3579
WI
Other
Enumeration date
06/29/2015
Last updated
05/20/2021
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