Individual
NATALIE C. STORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
(651) 291-2848
Mailing address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
(651) 291-2848
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0437465
KS
208000000X
Pediatrics Physician
2014026585
MO
208000000X
Pediatrics Physician
41012
IA
208000000X
Pediatrics Physician
55412
WI
208000000X
Pediatrics Physician
Primary
70757
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2009
Last updated
03/28/2022
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