Individual
DR. TROND A STOCKENSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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