Individual
STEPHANIE MARIE GAGELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1301 33RD ST S, SAINT CLOUD, MN 56301-9668
(320) 251-8181
Mailing address
4135 LARK CIR, GRAND FORKS, ND 58201-5966
(218) 779-8567
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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