Individual
STEPHANIE J NOTTESTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
414 N 7TH ST, BISMARCK, ND 58501-4423
(701) 323-6543
(701) 323-6960
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(701) 323-6543
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0109
ND
Other
Enumeration date
09/15/2006
Last updated
07/12/2022
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