Individual
MISS STEPHANIE L STANEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPA RA, RT
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 571-2451
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-0000
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
—
—
Other
Enumeration date
10/15/2008
Last updated
06/23/2010
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