NPI 1164836201

Stacey L Hladish, PAC

Practitioner Physician Assistant Manitowoc, WI

Practice location

Address: 1111 Bayshore Dr, Manitowoc, WI 54220-5548
Phone: (920) 682-6376
Fax: (920) 652-0115
Mailing address: 1035 Kepler Dr, Green Bay, WI 54311-8320

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 3310-23 (WI)

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Registry record

NPI: 1164836201
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jun 2014
Record last updated: 21 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.