Individual
MRS. TAYLOR MARLENE STOFFEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 884-3135
Mailing address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 884-3135
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4244-23
WI
363AM0700X
Medical Physician Assistant
4244-23
WI
Other
Enumeration date
01/05/2018
Last updated
02/21/2024
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