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Contact Information

STEPHANIE A MACCONNEL, PA-C
1105 SIXTH STREET
TRAVERSE CITY, MI49684
 Phone: 231-392-0630
 Fax: 231-935-5885
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for STEPHANIE A MACCONNEL · (Female)

NPI Number 1407281496
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/09/2013
Last updated 02/21/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MI License # 5601006787
Hospital affiliation(s)
  • MUNSON MEDICAL CENTER - (Acute Care)
    1105 SIXTH STREET
    TRAVERSE CITY, MI 49684
  • WILLIAM BEAUMONT HOSPITAL-TROY - (Acute Care)
    44201 DEQUINDRE ROAD
    TROY, MI 48085
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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