Individual
BETHANY STAEHNKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
323 S MINNESOTA ST, CROOKSTON, MN 56716-1601
(218) 281-9200
Mailing address
323 S MINNESOTA ST, CROOKSTON, MN 56716-1601
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
993
MN
213ES0103X
Foot & Ankle Surgery Podiatrist
SC006649
PA
Other
Enumeration date
06/24/2015
Last updated
06/28/2018
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