Individual
SUSAN MARIE STANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 255-6349
Mailing address
1520 MULBERRY RD, SAINT CLOUD, MN 56303-0153
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R102944-6
MN
Other
Enumeration date
02/27/2025
Last updated
09/02/2025
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