Stacey Mckenzie

NPI 1063163533 · on the registry since 2022

Practice

Address: 2212 Glacier Dr
Saint Croix Falls, WI 54024
Phone: (715) 483-1499
Organisation at this address: Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp
Thielke Family Eye Care, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-01-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin