Individual
SARAH STAKEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 WELTON DR, CUMBERLAND, MD 21502-1336
(301) 777-7900
(301) 724-5590
Mailing address
100 WELTON DR, CUMBERLAND, MD 21502-1336
(301) 777-7900
(301) 724-5590
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C06213
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06213
MARYLAND BOARD OF PHYSICIANS
MD
Enumeration date
09/07/2016
Last updated
09/07/2016
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