Individual
STUART E SYBESMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5200 FAIRVIEW BLVD, WYOMING, MN 55092-8013
(651) 982-7659
Mailing address
5200 FAIRVIEW BLVD, WYOMING, MN 55092-8013
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
22799
MN
Other
Enumeration date
06/02/2006
Last updated
07/30/2012
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