Individual
STEPHANIE ANN MCCARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2211 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1350
(612) 330-1388
Mailing address
19061 JORDAN TRL, LAKEVILLE, MN 55044-9657
(952) 649-2402
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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