MRS. Diane Lorraine Stadtmiller, PA

NPI #1346502408 in Cicero, New York

Provider Information

NPI Number: 1346502408
Entity Type: Individual
Name: MRS. Diane Lorraine Stadtmiller, PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jun 13, 2012
Last Updated: Jun 13, 2012

Practice Location

Address: 6112 COBBLESTONE DR
Address 2: SUITE F8
City: Cicero
State: New York
ZIP Code: 13039-9001
Phone: (315) 877-1116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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