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Contact Information

STACY RANGUETTE, PA
4602 EASTPARK BLVD
MADISON, WI53718
 Phone: 608-263-7540
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for STACY RANGUETTE · (Female)

NPI # 1235546557
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 07/18/2014
Last updated 01/20/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 3382-23
Hospital affiliation(s)
  • MERITER HSPTL - (Acute Care)
    202 S PARK ST
    MADISON, WI 53715
  • UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY - (Acute Care)
    600 HIGHLAND AVENUE
    MADISON, WI 53792
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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