Thomas Keane Stetler, PA-C
NPI #1164531794 in S Boardman, Michigan
Provider Information
- NPI Number
- 1164531794
- Entity Type
- Individual
- Name
- Thomas Keane Stetler, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Aug 29, 2006
- Last Updated
- Apr 21, 2011
Practice Location
- Address
- 4713 PINE ST SW
- City
- S Boardman
- State
- Michigan
- ZIP Code
- 49680-9761
- Phone
- (231) 518-0189
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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Organizations
| Provider Name | |
|---|---|
| Boardman Health and Wellness, Pllc |
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