Organization
STANLEY J. ANTOLAK JR. MD PA
Active
Other names
Center for Urologic and Pelvic Pain
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY J ANTOLAK JR. MD (PRESIDENT)
(651) 735-9355
Entity
Organization
Contact information
Practice address
8650 HUDSON BLVD N, SUITE 325, LAKE ELMO, MN 55042-9747
(651) 735-9355
(651) 735-0726
Mailing address
8650 HUDSON BLVD N, SUITE 325, LAKE ELMO, MN 55042-9747
(651) 735-9355
(651) 735-0726
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16329
MN
Other
Enumeration date
11/20/2006
Last updated
08/22/2020
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