Individual
STACEY MAE CONTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
724 DENTON ST, LA CROSSE, WI 54601-5447
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
7146
WI
363AM0700X
Medical Physician Assistant
Primary
7146
WI
Other
Enumeration date
11/22/2022
Last updated
01/05/2023
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