Individual
STEPHANIE KREJCAREK CHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
560 S MAPLE ST STE 10, WACONIA, MN 55387-1759
(952) 442-6000
Mailing address
7401 METRO BLVD STE 210, EDINA, MN 55439-3086
(952) 920-4915
(952) 915-6091
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
55245
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
07/17/2007
Last updated
11/28/2023
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