Individual
ANDRU STABLESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
903 RIDGE DR SE, SAINT MICHAEL, MN 55376-1076
(763) 464-5544
(888) 510-1203
Mailing address
903 RIDGE DR SE, SAINT MICHAEL, MN 55376-1076
(763) 464-5544
(888) 510-1203
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
172A00000X
Driver
Primary
—
—
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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