Doctor Name: | MR. BRET J STEMRICH |
NPI Number: | 1356670244 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA |
License Number: | MA054283 |
Business Practice Address: | 50 Moisey Dr Suite 214 Hazle Township, PA - 182029297 |
Business Phone Number: | 5705016900 |
Business Fax Number: | 5705016945 |
Mailing Address: | 50 Moisey Dr, Suite 214 HAZLE TOWNSHIP |
State: | PA |
Postal Code: | 182029297 |
Phone Number: | 5705016900 |
Fax Number: | 5705016945 |
NPI Enumeration Date: | 12/24/2009 |
NPI Last Update Date: | 12/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | MA054283 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |