Stella N.y.a. Hennen MD, MSPH

NPI 1114108750 - Ophthalmology - 207W00000X

NPI Details
NPI 1114108750
Gender Female
Enumeration Date 11/26/2007
Last Updated 09/14/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
3033 EXCELSIOR BLVD
SUITE 205
MINNEAPOLIS MN, 55416-4688, US
Phone (612) 470-9871
Fax
Business Location
3033 EXCELSIOR BLVD
SUITE 205
MINNEAPOLIS MN, 55416-4688, US
Phone (612) 470-9871
Fax
Toxanomy
Taxonomy Code 207W00000X
License State Minnesota
License Number 56474
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According to our database, Dr. Stella N.y.a. Hennen MD, MSPH NPI is 1114108750, taxonomy code is 207W00000X and license number is 56474, license state is located at Minnesota. Stella N.y.a. Hennen MD, MSPH physically located at 3033 Excelsior Blvd, Minneapolis MN, 55416-4688. NPI Number Stella N.y.a. Hennen MD, MSPH has the Individual type.

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1114108750 NPI number is provided on an as is basis without warranty of any kind. 1114108750 is maintained by the National Plan & Provider Enumeration System. The contents of Stella N.y.a. Hennen MD, MSPH are for informational purposes only.