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STACY FORST, PA-C
PA-C
Medical Physician Assistant
NPI: 1649272410IndividualAccepts Medicare
Specialties, Licenses & Credentials
Medical Physician AssistantPrimary
Physician Assistant — Medical
Code: 363AM0700X
WV1617(WV)
Physician Assistant
Physician Assistant
Code: 363A00000X
10000517A(IN)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2001
Contact & Hours
Via practice · 2 locations total
- Address
- 7910 W JEFFERSON BLVD, STE 108
FORT WAYNE, IN 46804 - Phone
- (260) 484-8830
Quick Facts
- NPI
- 1649272410
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 2
- Years in Practice
- 25
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