Individual
MELANIE T STAPLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
205 WABASHA ST S, SAINT PAUL, MN 55107
(651) 293-8100
(651) 293-8106
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516
(651) 293-8100
(651) 293-8106
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002118
IA
Other
Enumeration date
08/09/2010
Last updated
09/12/2018
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