Individual
REBECCA M STUCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
92 FAIRFIELD ST, SAINT ALBANS, VT 05478-1728
(802) 524-4046
Mailing address
79 AUSTIN RD, SWANTON, VT 05488-8466
(802) 527-9876
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
055-0300769
VT
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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