Individual
MARY STONE
Active
Individual
MARY STONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
5098
WI
Other
Enumeration date
03/04/2020
Last updated
07/13/2020
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