Individual
STEPHANIE GUEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1700 W STOUT ST, RICE LAKE, WI 54868
(715) 236-8100
Mailing address
1677 27TH ST, RICE LAKE, WI 54868-8759
(715) 296-0237
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4496-23
WI
Other
Enumeration date
08/15/2018
Last updated
04/05/2021
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