Individual
STEPHANIE JEAN PIDDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
280 SNELLING AVE N, SAINT PAUL, MN 55104-5330
(651) 788-4444
(651) 699-9257
Mailing address
2025 SLOAN PL STE 35, SAINT PAUL, MN 55117-2092
(651) 772-1572
(651) 772-1889
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15509
MN
Other
Enumeration date
04/29/2024
Last updated
10/22/2025
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