Individual
STEPHANIE WICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO, MBA, MS
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 273-9824
Mailing address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 273-9824
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
67333
MN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/17/2018
Last updated
05/24/2022
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