Individual
MARIAH ANNE STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
N6382 1297TH ST, PRESCOTT, WI 54021-7034
(715) 441-8598
Mailing address
N6382 1297TH ST, PRESCOTT, WI 54021-7034
(715) 441-8598
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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