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Individual

DR. STANLEY JOHN ANTOLAK JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7400 FRANCE AVE S, SUITE 100, MINNEAPOLIS, MN 55435-4738
(763) 537-6000
(763) 537-6666
Mailing address
2104 NORTHDALE BLVD NW, SUITE 220, MINNEAPOLIS, MN 55433-3028
(763) 537-6000
(763) 537-6666

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
16329
MN

Other

Enumeration date
03/17/2006
Last updated
02/04/2009
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