Individual
DR. STEPHANIE J FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3100 KENNARD ST, MAPLEWOOD, MN 55109-5465
(651) 326-1044
Mailing address
3100 KENNARD ST, MAPLEWOOD, MN 55109-5465
(651) 326-1044
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
104273
MN
207K00000X
Allergy & Immunology Physician
Primary
52217
MN
208M00000X
Hospitalist Physician
2008008163
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
01
—
P0083991
MEDICARE RAIL ROAD
MN
Enumeration date
03/23/2007
Last updated
10/24/2011
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