Individual
DR. JOHN J STOLTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 OSBORNE RD NE, FRIDLEY, MN 55432-2765
(952) 843-4333
(952) 843-4301
Mailing address
500 OSBORNE RD NE, FRIDLEY, MN 55432-2767
(952) 843-4333
(952) 843-4301
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
21002
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
845593700
—
MN
Enumeration date
02/20/2006
Last updated
04/22/2008
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