Stacy Marie Anderson PA-C

NPI 1497933170 - Physician Assistant - 363A00000X

NPI Details
NPI 1497933170
Gender Female
Enumeration Date 02/05/2008
Last Updated 05/11/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
6350 W 143RD ST STE 102
SAVAGE MN, 55378-2890, US
Phone (952) 428-0200
Fax
Business Location
6350 W 143RD ST STE 102
SAVAGE MN, 55378-2890, US
Phone (952) 428-0200
Fax
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
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According to our database, Stacy Marie Anderson PA-C NPI is 1497933170, taxonomy code is 363A00000X Stacy Marie Anderson PA-C physically located at 6350 W 143rd St Ste 102, Savage MN, 55378-2890. NPI Number Stacy Marie Anderson PA-C has the Individual type.

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1497933170 NPI number is provided on an as is basis without warranty of any kind. 1497933170 is maintained by the National Plan & Provider Enumeration System. The contents of Stacy Marie Anderson PA-C are for informational purposes only.