Individual
MRS. STEPHANIE SUZANNE WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST/CFA
Contact information
Practice address
333 MILLSTREAM LN, OSWEGO, IL 60543-8279
(815) 786-5153
Mailing address
333 MILLSTREAM LN, OSWEGO, IL 60543-8279
(815) 786-5153
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/25/2008
Last updated
07/27/2022
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