MS. Stephanie Lynn Martin, PA-C

NPI #1790340552 in Eagan, Minnesota

Provider Information

NPI Number: 1790340552
Entity Type: Individual
Name: MS. Stephanie Lynn Martin, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 7, 2019
Last Updated: Oct 28, 2021

Practice Location

Address: 1185 TOWN CENTRE DR STE 205
City: Eagan
State: Minnesota
ZIP Code: 55123-1370
Phone: (612) 871-1145

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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