Individual
AMANDA STADEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2312 S 6TH ST, MINNEAPOLIS, MN 55454-1336
(612) 625-3330
Mailing address
2312 S 6TH ST, MINNEAPOLIS, MN 55454-1336
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
77205
MN
Other
Enumeration date
06/16/2021
Last updated
01/13/2025
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