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THOMAS KEANE STETLER PA-C
NPI 1164531794
Physician Assistant in S Boardman, MI

Active since August 29, 2006
4713 PINE ST SW, S BOARDMAN, MI 49680(231) 518-0189(231) 518-0188 Get Directions Write a Review

NPPES record last updated: April 21, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas Keane Stetler Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS KEANE STETLER PA-C (NPI 1164531794) is an individual physician assistant in S Boardman, Michigan, licensed in Michigan (5601003799) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1164531794
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTHOMAS KEANE STETLERCredential: PA-C
Location Address4713 PINE ST SWS Boardman, MI 49680-9761
Mailing Address4713 Pine St SwS Boardman, MI 49680-9761 · (231) 518-0189 · Fax (231) 518-0188
Phone(231) 518-0189
Fax(231) 518-0188
Sole ProprietorYes
Enumeration DateAugust 29, 2006
Last NPPES UpdateApril 21, 2011
✔ NPI 1164531794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601003799
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4713 PINE ST SW, S Boardman, MI 49680
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BOARDMAN HEALTH AND WELLNESS, PLLC
Physician Assistant
4713 PINE ST SW
S BOARDMAN, MI 49680
Kalkaska County (231) 369-2656
BOARDMAN HEALTH AND WELLNESS, PLLC
Family Medicine
4713 PINE ST SW
SOUTH BOARDMAN, MI 49680
Kalkaska County (231) 369-2656
BOARDMAN FAMILY PRACTICE PLLC
Clinic/Center (Rural Health)
4713 PINE ST SW
SOUTH BOARDMAN, MI 49680
Kalkaska County (231) 518-0189
TODD M KREYKES PA.C
Physician Assistant
4713 PINE ST SW
SOUTH BOARDMAN, MI 49680
Kalkaska County (231) 369-2656

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Stetler's NPI number?

The NPI number for Thomas Stetler is 1164531794. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Thomas Stetler located?

Thomas Stetler practices at 4713 Pine St SW, S Boardman, MI 49680. The listed phone number is (231) 518-0189.

What is Thomas Stetler's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Thomas Stetler was last updated on April 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.