Stacey M. Fashingbauer, PA-C, LAT
NPI #1932445038 in Rhinelander, Wisconsin
Provider Information
- NPI Number
- 1932445038
- Entity Type
- Individual
- Name
- Stacey M. Fashingbauer, PA-C, LAT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C, LAT
- Enumeration Date
- Dec 17, 2012
- Last Updated
- Oct 1, 2021
Practice Location
- Address
- 444 E TIMBER DR
- City
- Rhinelander
- State
- Wisconsin
- ZIP Code
- 54501-2852
- Phone
- (715) 369-2300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
| Physician Assistant |
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