Individual
DR. STEPHANIE MARIE MACKENTHUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
420 DELAWARE ST SE, MMC 395, MINNEAPOLIS, MN 55455
(612) 301-3417
Mailing address
420 DELAWARE ST SE, MMC 395, MINNEAPOLIS, MN 55455
(612) 301-3417
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
65649
MN
Other
Enumeration date
05/26/2015
Last updated
07/18/2019
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