Individual
MARK STUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
516 DELAWARE STREET SE, UMP PM&R CLINIC, MINNEAPOLIS, MN 55455
(612) 884-0649
Mailing address
720 WASHINGTON AVE SE, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55414
(612) 884-0649
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
33411
MN
Other
Enumeration date
06/14/2006
Last updated
11/01/2012
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