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NPI #1700748142 in Stillwater, Minnesota

Provider Information

NPI Number
1700748142
Entity Type
Organization
Organization Name
If
Primary Specialty
Clinic/Center
Enumeration Date
Nov 24, 2025
Last Updated
Nov 24, 2025

Practice Location

Address
6770 STILLWATER BLVD N STE 200
ZIP Code
55082-5438
Phone
(612) 839-8350

Authorized Official

Name
ALISON CAMPBELL
Title
OWNER
Phone
(612) 839-8350

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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