Individual
STEPHANIE LINNEA PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PA-C
Contact information
Practice address
6401 FRANCE AVE S DEPT OF, EDINA, MN 55435-2104
(952) 924-5000
Mailing address
6401 FRANCE AVENUE SOUTH, DEPARTMENT OF MEDICINE, EDINA, MN 55435-2104
(952) 924-5000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
CDR 997338
—
363A00000X
Physician Assistant
Primary
12562
MN
Other
Enumeration date
12/03/2013
Last updated
01/06/2020
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