Individual
DR. TROND A STOCKENSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 NICOLLET MALL, STE 2000, MINNEAPOLIS, MN 55402-2708
(612) 338-4861
(612) 333-8306
Mailing address
825 NICOLLET MALL, STE 2000, MINNEAPOLIS, MN 55402-2708
(612) 338-4861
(612) 333-8306
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
36846
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0800038
MEDICA PRIMARY
MN
01
—
0800691
SELECTCARE
MN
01
—
1021630001
ADMINISTAR FEDERAL NE
MN
01
—
1021630002
ADMINISTAR FEDERAL DT
MN
01
—
200002101436
METROPOLITAN HEALTH PLAN
MN
01
—
47G42DT
BLUE SHIELD
MN
01
—
962531028814
PREFERRED ONE
MN
01
—
HP34123
HEALTHPARTNERS
MN
Enumeration date
06/13/2005
Last updated
10/08/2007
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