Individual
STACY L GREENSPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2912 CATHEDRAL PARK VW, COLORADO SPRINGS, CO 80904-4722
(952) 595-1100
(612) 294-4903
Mailing address
11995 SINGLETREE LN, SUITE 500, EDEN PRAIRIE, MN 55344-5347
(952) 595-1301
(612) 294-4903
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
05-37082
KS
2085R0202X
Diagnostic Radiology Physician
1164
NE
2085R0202X
Diagnostic Radiology Physician
1592
HI
2085R0202X
Diagnostic Radiology Physician
Primary
37796
CO
Other
Enumeration date
12/07/2005
Last updated
06/24/2015
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