Stephan Lawrence Wasmundt, PA-C

NPI #1609541275 in Chatfield, Minnesota

Provider Information

NPI Number: 1609541275
Entity Type: Individual
Name: Stephan Lawrence Wasmundt, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 15, 2021
Last Updated: Mar 21, 2023

Practice Location

Address: 207 TWIFORD ST SW
City: Chatfield
State: Minnesota
ZIP Code: 55923-1235
Phone: (507) 867-4925

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Physician Assistant	363A00000X	Primary

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