Individual
CHRISTINE R STANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
640 JACKSON STREET, MAIL STOP 11303A, ST PAUL, MN 55101-2502
(651) 254-4786
(651) 228-8362
Mailing address
8170 33RD AVE S # 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
44265
MN
2084P0800X
Psychiatry Physician
75189
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
488982700
—
MN
Enumeration date
04/19/2006
Last updated
12/09/2024
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