Individual
CHRISTINA STAVIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5320 HYLAND GREENS DR, PARK NICOLLET CLINIC - BLOOMINGTON, BLOOMINGTON, MN 55437-3938
(952) 993-2400
(952) 993-2522
Mailing address
5320 HYLAND GREENS DR, PARK NICOLLET CLINIC - BLOOMINGTON, BLOOMINGTON, MN 55437-3938
(952) 993-2400
(952) 993-2522
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
50985
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2008
Last updated
02/12/2015
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