Individual
JOETTA R STANGL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1200 SIXTH AVE N, CENTRACARE CLINIC, ST CLOUD, MN 56303-2735
(320) 252-5131
Mailing address
1200 SIXTH AVE N, CENTRACARE CLINIC, ST CLOUD, MN 56303-2735
Taxonomy
Speciality
Code
Description
License number
State
163WN0300X
Nephrology Registered Nurse
Primary
R189991-9
MN
Other
Enumeration date
10/22/2010
Last updated
10/27/2010
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