Stephanie Nicole Blaha, PA-C

NPI #1366054116 in Cudahy, Wisconsin

Provider Information

NPI Number: 1366054116
Entity Type: Individual
Name: Stephanie Nicole Blaha, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 21, 2020
Last Updated: Oct 6, 2023

Practice Location

Address: 5900 S LAKE DR
City: Cudahy
State: Wisconsin
ZIP Code: 53110-3171
Phone: (414) 489-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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