Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacey Lee Konzak, PAC

Individual provider Physician Assistant · NPI 1962486969

Stacey Lee Konzak, PAC is a Physician Assistant in Bismarck, North Dakota. Licensed in North Dakota and South Dakota. Registered with an NPI since 2005.

Licensed in
ND, SD
In the registry since
2005
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

2900 E Broadway Ave
Bismarck, ND 58501-5112
Phone: (701) 221-9997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PAC0348 (ND)
Physician Assistant Taxonomy 363A00000X · Licence 0537 (SD)

Record details

NPI number1962486969
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedDecember 2, 2005
Last updated in NPPESSeptember 18, 2014

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