Individual
SHELLY STECKER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
828 HAWTHORNE ST E, SAINT PAUL, MN 55106-3252
(651) 774-2959
Mailing address
4308 ARTHUR ST NE, COLUMBIA HEIGHTS, MN 55421-3237
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11462
MN
Other
Enumeration date
01/26/2006
Last updated
07/08/2007
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