Individual
MARK STOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
5810 EXCELSIOR BLVD, ST LOUIS PARK, MN 55416-2830
(612) 235-6008
(612) 235-6003
Mailing address
5810 EXCELSIOR BLVD, EDINA, MN 55416-2830
(612) 235-6008
(612) 235-6003
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R 163073-8
MN
Other
Enumeration date
08/20/2009
Last updated
01/22/2025
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