Individual
REBECCA SUE STUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501
(218) 847-5611
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-4222
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
750
ND
363A00000X
Physician Assistant
Primary
12383
MN
Other
Enumeration date
10/23/2008
Last updated
05/22/2018
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