Individual
STACEY L SCHWIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
23450 COLLEGE BLVD, OLATHE, KS 66061-8702
(913) 764-7788
(913) 764-6088
Mailing address
23450 COLLEGE BLVD, OLATHE, KS 66061-8702
(913) 764-7788
(913) 764-6088
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15-01632
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201091620A
—
KS
Enumeration date
08/19/2013
Last updated
06/29/2015
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