Stanley J. Antolak Jr. MD PA

NPI #1508930512 in Lake Elmo, Minnesota

Provider Information

NPI Number: 1508930512
Entity Type: Organization
Organization Name: Stanley J. Antolak Jr. MD PA
Primary Specialty: Specialist
Enumeration Date: Nov 20, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 8650 HUDSON BLVD N
Address 2: SUITE 325
City: Lake Elmo
State: Minnesota
ZIP Code: 55042-9747
Phone: (651) 735-9355

Authorized Official

Name: DR. STANLEY J ANTOLAK JR., MD
Title: PRESIDENT
Phone: (651) 735-9355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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