Individual provider · Type 1 NPI

Michael Ryan Stclair, PA-C

Medical Physician Assistant · Hartford, CT

NPI number 1124417852 Active

Practice location

80 Seymour St, Hartford Hospital Medicine Dept
Hartford, CT 06102-5037

Mailing address

80 Seymour Street, Hartford Hospital Medicine Dept
Hartford, CT 06102-5037

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X003275 (CT)
Medical Physician Assistant Primary 363AM0700X003275 (CT)
Surgical Physician Assistant 363AS0400X003275 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1124417852

Michael Ryan Stclair, PA-C's National Provider Identifier is 1124417852, issued on Jan 19, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hartford, CT. The record was last updated on Mar 24, 2015.