Individual provider · Type 1 NPI
Stephanie Elaine Fangman, PA-C
Medical Physician Assistant · Manchester, IA
NPI number
1528313350
Active
Practice location
709 W Main St Ste 3
Manchester, IA 52057-1526
Fax (269) 349-2898
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 5601006398 (MI) |
Medical Physician Assistant: Definition to come...
About NPI 1528313350
Stephanie Elaine Fangman, PA-C's National Provider Identifier is 1528313350, issued on Jul 18, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Manchester, IA. The record was last updated on Oct 28, 2020.