MEDICARE: ROSE M STINSON PA-C

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
1	363AM0700X	Medical Physician Assistant	MA054563	PA

General Provider Information

NPI Number	:	1689977340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSE M STINSON PA-C

Provider Business Mailing Address
First Line	:	1481 MARVIEW DR
Second Line	:
City	:	WESTLAKE
State	:	OH
Zip	:	44145-2341
Country	:	US
Telephone Number	:	440-829-1343
Fax Number	:

Provider Business Practice Location Address
First Line	:	8787 BROOKPARK RD
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44129-6809
Country	:	US
Telephone Number	:	216-739-7000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/17/2010
Last Update Date	:	12/07/2023

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Directions to “ ROSE M STINSON PA-C” Practice Location

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