Individual
KATHRYN ANNE STIBER WOZNIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004395
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004395
STATE OF OHIO
OH
01
—
1127094
NCCPA
OH
Enumeration date
07/14/2015
Last updated
07/15/2015
Update your record
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