Individual
MRS. MOLLIE A STAPLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
927 TRETTEL LANE, FOND DU LAC HUMAN SERVICES DIVISION, CLOQUET, MN 55720
(218) 879-1227
Mailing address
211 W 4TH ST, DULUTH, MN 55806-2719
(218) 525-0557
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41732
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
383818800
—
MN
Enumeration date
04/13/2006
Last updated
04/05/2017
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