Individual
AMY STROMWALL BEACOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2090 WOODWINDS DR, WOODBURY, MN 55125-2522
(651) 968-5801
(651) 968-5899
Mailing address
710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
(651) 968-5042
(651) 968-5904
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
47575
MN
207X00000X
Orthopaedic Surgery Physician
47575
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136614900
—
MN
01
—
P00240678
RAILROAD MEDICARE
MN
Enumeration date
03/14/2006
Last updated
03/24/2023
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