Individual
DR. JACQUES P STASSART
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
2101 WOODWINDS DR, SUITE 100, WOODBURY, MN 55125-2525
(651) 222-6050
(651) 222-5975
Mailing address
2101 WOODWINDS DR, SUITE 100, WOODBURY, MN 55125-2525
(651) 222-6050
(651) 222-5975
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
31216
MN
Other
Enumeration date
12/15/2005
Last updated
07/08/2007
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