Individual
STUART SAMUEL DANSINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDS
Contact information
Practice address
12600 MARION LN W APT 103, MINNETONKA, MN 55305-1330
(612) 385-6279
Mailing address
12600 MARION LN W APT 103, MINNETONKA, MN 55305-1330
(612) 385-6279
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP1640
MN
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
LP1640
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03338DA
BCBS
MN
05
—
218845700
—
MN
01
—
6121367
VBH
MN
01
—
87726
UNITED BEHAVIORAL HEALTH
MN
Enumeration date
09/11/2006
Last updated
06/01/2023
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