Individual provider · Type 1 NPI

Heather L. Stack, PA-C

Surgical Physician Assistant · Milwaukee, WI

NPI number 1841244993 Active

Practice location

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522

Fax (414) 955-0183

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X1541 (WI)

Surgical Physician Assistant: Definition to come...

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About NPI 1841244993

Heather L. Stack, PA-C's National Provider Identifier is 1841244993, issued on May 22, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Milwaukee, WI. The record was last updated on Oct 6, 2025.