Individual
STEPHANIE K KROON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
535 HOSPITAL RD, NEW RICHMOND, WI 54017-1449
(715) 243-3400
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2236
WI
363A00000X
Physician Assistant
9936
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170151700
—
MN
Enumeration date
02/24/2006
Last updated
04/17/2024
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