Individual
MR. BRYAN JON STENLUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S./L.P.
Contact information
Practice address
516 S POKEGAMA AVE, STE B, GRAND RAPIDS, MN 55744
(218) 327-8937
(218) 327-0348
Mailing address
516 S POKEGAMA AVE, STE B, GRAND RAPIDS, MN 55744
(218) 327-8937
(218) 327-0348
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2760
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278247200
—
MN
Enumeration date
08/09/2006
Last updated
01/28/2016
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