Individual
DR. STACY A SJOBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PHD
Contact information
Practice address
1 3RD AVE NE, CROSBY, MN 56441-1665
(218) 546-5108
(218) 546-5736
Mailing address
1 3RD AVE NE, CROSBY, MN 56441-1665
(218) 546-5108
(218) 546-5736
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
47570
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014957800
—
MN
01
—
0801285
MEDICA
MN
01
—
310G3SJ
BLUE CROSS & BLUE SHIELD
MN
01
—
P00235993
TRAVELERS MEDICARE
MN
Enumeration date
05/15/2006
Last updated
07/12/2013
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