Individual
STEFANIE NOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
122 4TH AVE, GRINNELL, IA 50112-1829
(641) 236-4323
(641) 236-3411
Mailing address
1405 BROAD ST, GRINNELL, IA 50112-1422
(641) 236-1991
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001646
IA
Other
Enumeration date
09/29/2005
Last updated
07/08/2007
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