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NPI Code Detail

MEDICARE: TROY R STONEBERG PA

MEDICARE:   TROY R STONEBERG  PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant1689WI

General Provider Information

NPI Number : 1629045968
Entity Type Code : Individual
Provider Name (Legal Business Name) : TROY R STONEBERG PA
Provider Business Mailing Address
First Line : 2116 CRAIG RD
Second Line :
City : EAU CLAIRE
State : WI
Zip : 54701-6118
Country : US
Telephone Number : 715-858-4500
Fax Number :
Provider Business Practice Location Address
First Line : 2116 CRAIG RD
Second Line :
City : EAU CLAIRE
State : WI
Zip : 54701-6118
Country : US
Telephone Number : 715-858-4500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2006
Last Update Date : 02/13/2026

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Directions to “ TROY R STONEBERG PA” Practice Location

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