Individual
STEPHANIE TEREZAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 HARVARD ST SE, MINNEAPOLIS, MN 55455-0363
(612) 273-6700
Mailing address
720 WASHINGTON AVE SE STE 300, MINNEAPOLIS, MN 55414-2904
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
64832
MN
2085R0001X
Radiation Oncology Physician
D68563
MD
2085R0203X
Therapeutic Radiology Physician
237510
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023184300
—
MD
Enumeration date
02/11/2009
Last updated
12/04/2018
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