Individual
STEPHANIE ANNE PICKTHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8401 GOLDEN VALLEY RD, GOLDEN VALLEY, MN 55427-4486
(952) 993-8300
(952) 993-8331
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
(952) 993-8300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
71741
MN
207Q00000X
Family Medicine Physician
R-11481
IA
207QA0000X
Adolescent Medicine (Family Medicine) Physician
R-11481
IA
207QA0401X
Addiction Medicine (Family Medicine) Physician
R-11481
IA
207QA0505X
Adult Medicine Physician
R-11481
IA
207QB0002X
Obesity Medicine (Family Medicine) Physician
R-11481
IA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
R-11481
IA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
R-11481
IA
207QS0010X
Sports Medicine (Family Medicine) Physician
R-11481
IA
207QS1201X
Sleep Medicine (Family Medicine) Physician
R-11481
IA
Other
Enumeration date
06/07/2019
Last updated
07/25/2025
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