Stacy Holberg D.O.

NPI 1700986296 - Family Medicine - 207Q00000X

NPI Details
NPI 1700986296
Gender Female
Enumeration Date 09/24/2006
Last Updated 12/23/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
4801 VETERANS DR
SAINT CLOUD MN, 56303-2015, US
Phone (320) 252-1670
Fax
Business Location
4801 VETERANS DR
SAINT CLOUD MN, 56303-2015, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Minnesota
License Number 47672
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According to our database, Stacy Holberg D.O. NPI is 1700986296, taxonomy code is 207Q00000X and license number is 47672, license state is located at Minnesota. Stacy Holberg D.O. physically located at 4801 Veterans Dr, Saint Cloud MN, 56303-2015. NPI Number Stacy Holberg D.O. has the Individual type.

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1700986296 NPI number is provided on an as is basis without warranty of any kind. 1700986296 is maintained by the National Plan & Provider Enumeration System. The contents of Stacy Holberg D.O. are for informational purposes only.