Individual
STACI K LOKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
13060 ISLE DR, BAXTER, MN 56425-8331
(218) 828-2880
Mailing address
13060 ISLE DR, BAXTER, MN 56425-8331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
69717
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2020
Last updated
09/13/2023
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