Jacques P Stassart

NPI 1043296742 - Specialist - 174400000X

NPI Details
NPI 1043296742
Gender Male
Enumeration Date 12/15/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2101 WOODWINDS DR
SUITE 100
WOODBURY MN, 55125-2525, US
Phone (651) 222-6050
Fax (651) 222-5975
Business Location
2101 WOODWINDS DR
SUITE 100
WOODBURY MN, 55125-2525, US
Phone (651) 222-6050
Fax (651) 222-5975
Toxanomy
Taxonomy Code 174400000X
License State Minnesota
License Number 31216
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According to our database, Dr. Jacques P Stassart NPI is 1043296742, taxonomy code is 174400000X and license number is 31216, license state is located at Minnesota. Jacques P Stassart physically located at 2101 Woodwinds Dr, Woodbury MN, 55125-2525. NPI Number Jacques P Stassart has the Individual type.

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1043296742 NPI number is provided on an as is basis without warranty of any kind. 1043296742 is maintained by the National Plan & Provider Enumeration System. The contents of Jacques P Stassart are for informational purposes only.