Individual
AMANDA RENE STOLTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
710 E 24TH ST, MINNEAPOLIS, MN 55404-3840
(612) 775-8866
Mailing address
710 E 24TH ST, MINNEAPOLIS, MN 55404-3840
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2807
MN
Other
Enumeration date
06/27/2006
Last updated
11/10/2020
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