Individual
KATRINA LOUISE STACHOWIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7470 BROCKWAY RD, BROCKWAY, MI 48097-3458
(810) 387-9355
(810) 387-9400
Mailing address
7470 BROCKWAY RD, BROCKWAY, MI 48097-3458
(810) 387-9355
(810) 387-9400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003460
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801862842
—
MI
Enumeration date
02/28/2006
Last updated
04/27/2023
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