DR. Jacques P Stassart

NPI #1043296742 in Woodbury, Minnesota

Provider Information

NPI Number: 1043296742
Entity Type: Individual
Name: DR. Jacques P Stassart
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Specialist
Enumeration Date: Dec 15, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 2101 WOODWINDS DR
Address 2: SUITE 100
City: Woodbury
State: Minnesota
ZIP Code: 55125-2525
Phone: (651) 222-6050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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