Individual
MRS. EMILY ANN STADHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
215 N BROADWAY, ALDEN, MN 56009-8700
(507) 402-2947
(507) 874-2747
Mailing address
PO BOX 99, ALDEN, MN 56009-0099
(507) 402-2947
(507) 874-2747
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2828
MN
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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