Individual
STEPHANIE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7373 FRANCE AVE S STE 606, EDINA, MN 55435-4552
(320) 217-8480
(320) 217-8490
Mailing address
7373 FRANCE AVE S STE 606, EDINA, MN 55435-4552
(320) 217-8480
(320) 217-8490
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14501
MN
Other
Enumeration date
11/04/2021
Last updated
06/25/2025
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