Individual
MS. BRANDI LEE STALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADT
Contact information
Practice address
315 N 1ST ST, MONTEVIDEO, MN 56265-1405
(320) 269-6406
(320) 269-6408
Mailing address
209 SOUTH 1ST STREET, MONTEVIDEO, MN 56265
(320) 269-6406
(320) 269-6408
Taxonomy
Speciality
Code
Description
License number
State
125K00000X
Advanced Practice Dental Therapist
Primary
ADT10
MN
126800000X
Dental Assistant
A8742
MN
Other
Enumeration date
02/02/2012
Last updated
08/15/2025
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