Individual
MS. STEPHANIE A EBERHARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
525 AIRPORT DR, ONEIDA, WI 54155-9035
(920) 869-2711
(920) 869-1782
Mailing address
PO BOX 365, ONEIDA, WI 54155-0365
(920) 869-2711
(920) 869-1782
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
878
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42958600
—
WI
Enumeration date
09/13/2005
Last updated
06/21/2023
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