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Individual

AMANDA RAE STRAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 520-5200
Mailing address
1426 E VERMONT ST, INDIANAPOLIS, IN 46201-3045
(317) 847-5196

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
11016272A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
69449
MN

Other

Enumeration date
07/28/2011
Last updated
06/18/2021
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