Individual
STEPHANIE M AHRENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2720 FAIRVIEW AVE N, ROSEVILLE, MN 55113-1306
(651) 377-8359
Mailing address
2720 FAIRVIEW AVE N, ROSEVILLE, MN 55113-1306
(651) 241-5290
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
34.012172
OH
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
76657
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0429725
—
OH
01
—
H790080
CGS - MEDICARE
OH
Enumeration date
03/22/2014
Last updated
07/10/2024
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