MEDICARE: RACHEL ELIZABETH STANCHFIELD 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	363A00000X	Physician Assistant	12357	MN

General Provider Information

NPI Number	:	1740726553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL ELIZABETH STANCHFIELD PA-C

Provider Business Mailing Address
First Line	:	5727 JUNEAU LN N
Second Line	:
City	:	PLYMOUTH
State	:	MN
Zip	:	55446-1508
Country	:	US
Telephone Number	:	763-568-2277
Fax Number	:

Provider Business Practice Location Address
First Line	:	115 E SOO ST
Second Line	:
City	:	PARKERS PRAIRIE
State	:	MN
Zip	:	56361-4995
Country	:	US
Telephone Number	:	218-338-4371
Fax Number	:

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

Provider Enumeration Date	:	01/18/2017
Last Update Date	:	11/14/2017

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