Individual
STEPHANIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
234 WENTWORTH AVE E, WEST SAINT PAUL, MN 55118-3525
(651) 788-4444
(651) 455-3354
Mailing address
2025 SLOAN PL STE 35, SAINT PAUL, MN 55117-2092
(651) 772-1572
(651) 772-1889
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15468
MN
Other
Enumeration date
03/29/2025
Last updated
09/05/2025
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