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STACY VIENHAGE, PA-C
PA-C
Physician Assistant
NPI: 1972693638IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
2001029957(MO)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2001
Contact & Hours
- Address
- 3808 S GREYSTONE CT
SPRINGFIELD, MO 65804 - Phone
- (417) 889-3332
Quick Facts
- NPI
- 1972693638
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 25
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