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STACEY M BOSWELL PA

PA

Physician Assistant

NPI: 1114268125IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

10001506A(IN)

Education

OTHER

Class of 2012

Contact & Hours

Address
11141 PARKVIEW PLAZA DR STE 305
FORT WAYNE, IN 46845

Quick Facts

NPI
1114268125
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
14

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