Corey J Stennes MD

NPI 1164695581 - Surgery - 208600000X

NPI Details
NPI 1164695581
Gender Male
Enumeration Date 04/07/2008
Last Updated 03/17/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
9825 HOSPITAL DR
SUITE 105
MAPLE GROVE MN, 55369-4479, US
Phone (763) 780-6699
Fax
Business Location
9825 HOSPITAL DR
SUITE 105
MAPLE GROVE MN, 55369-4479, US
Phone (763) 780-6699
Fax
Toxanomy
Taxonomy Code 208600000X
License State Minnesota
License Number 56234
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According to our database, Corey J Stennes MD NPI is 1164695581, taxonomy code is 208600000X and license number is 56234, license state is located at Minnesota. Corey J Stennes MD physically located at 9825 Hospital Dr, Maple Grove MN, 55369-4479. NPI Number Corey J Stennes MD has the Individual type.

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1164695581 NPI number is provided on an as is basis without warranty of any kind. 1164695581 is maintained by the National Plan & Provider Enumeration System. The contents of Corey J Stennes MD are for informational purposes only.