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Makenzie E Stalets, PA-C
Medical Physician Assistant in Indianapolis, Indiana
NPI 1578178331

Makenzie E Stalets is a Medical Physician Assistant based in Indianapolis, IN and is specialized in Medical. Makenzie E Stalets practices in Indianapolis, IN and has the professional credentials of PA-C. The NPI Number for Makenzie E Stalets is 1578178331 and holds a License No. 10003081A (Indiana).

The current practice location address for Makenzie E Stalets is 8205 E 56Th St Ste 250, Indianapolis, IN and can be reached out via phone at 317-353-8985 and via fax at 317-353-2389.

Location: 8205 E 56Th St Ste 250, Indianapolis, IN, 46260-5365
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Provider Profile Details
NPI Number
1578178331
Provider Name
Makenzie E Stalets
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
8205 E 56Th St Ste 250, Indianapolis, IN, 46260-5365
Phone Number
317-353-8985
Fax Number
317-353-2389
Provider Enumeration Date
09/09/2020
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10003081A 01 IN PA LICENSE
300045170 05 IN
institution
Provider Business Practice Location Address Details
Address
8205 E 56Th St Ste 250
City
State
Zip
46216-1097
Phone Number
317-353-8985
Fax Number
317-353-2389
person
Provider Business Mailing Address Details
Address
8205 E 56Th St Ste 250
City
State
Zip
46216-1097
Phone Number
317-353-8985
Fax Number
317-353-2389
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
10003081A (Indiana)
Definition
Definition to come...
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