Individual
STEPHANIE DYKEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6809 SANDLEWOOD RD, WOODBURY, MN 55125-2175
(701) 260-2298
Mailing address
6809 SANDLEWOOD RD, WOODBURY, MN 55125-2175
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
572405
MN
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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