Peter Stasica

NPI #1063629368 in Saint Paul, Minnesota

Provider Information

NPI Number
1063629368
Entity Type
Individual
Name
Peter Stasica
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Prosthetist
Enumeration Date
May 17, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
2200 UNIVERSITY AVE W
Address 2
#114
ZIP Code
55114-1839
Phone
(651) 644-5800

Specialties & Taxonomy Codes

Specialty
Prosthetist

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