Individual
STEPHANIE ROSE ANTONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103
(701) 364-8000
Mailing address
3000 32ND AVE S, FARGO, ND 58103
(701) 364-8000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
14244
ND
208000000X
Pediatrics Physician
PT 14244
ND
Other
Enumeration date
04/03/2013
Last updated
03/28/2022
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