Individual
JENNIFER MARIE STONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 CONEY ST W, PERHAM, MN 56573-2102
(218) 346-4043
Mailing address
1000 CONEY ST W, PERHAM, MN 56573-2102
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
67930
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2019
Last updated
08/16/2022
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