Individual
MOLLY STOMMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1045 STOUGHTON AVE, CHASKA, MN 55318
(952) 448-6557
Mailing address
1045 STOUGHTON AVE, CHASKA, MN 55318-2149
(952) 448-6557
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP 4631
MN
Other
Enumeration date
07/12/2016
Last updated
12/01/2020
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