Individual
KATIE R STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.C.
Contact information
Practice address
1526 ROSE ST, LA CROSSE, WI 54603-2245
(608) 781-9880
Mailing address
1526 ROSE ST, LA CROSSE, WI 54603-2245
(608) 781-9880
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3421-23
WI
Other
Enumeration date
07/24/2009
Last updated
02/02/2015
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