Stillwater Medical Group
NPI #1598099772 in Oak Park Heights, Minnesota
Provider Information
- NPI Number
- 1598099772
- Entity Type
- Organization
- Organization Name
- Stillwater Medical Group
- Primary Specialty
- Nurse Practitioner - Acute Care
- Enumeration Date
- Sep 22, 2009
- Last Updated
- Jan 4, 2011
Practice Location
- Address
- 5815 NORELL AVE N
- City
- Oak Park Heights
- State
- Minnesota
- ZIP Code
- 55082-1766
- Phone
- (651) 439-1234
Authorized Official
- Name
- KIRK NYBAKKEN
- Title
- DIRECTOR OF FINANCE
- Phone
- (651) 275-3302
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
| Nurse Practitioner - Acute Care — Acute Care |
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