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Contact Information

STEPHANIE STACKHOUSE, MD
5520 BRISTOL LANE
MINNETONKA, MN55343
 Phone: 952-938-0680
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nephrology

207RN0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for STEPHANIE STACKHOUSE · (Female)

NPI # 1649723420
Status Active
Credentials MD
Entity Individual
Enumeration date 07/28/2016
Last updated 07/28/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 29886
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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