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Contact Information

KRISTINE L STOMPRO, PA-C
1027 WASHINGTON AVENUE
EH ST MARY'S-DETROIT LAKES CLINIC URGENT CARE
DETROIT LAKES, MN56501
 Phone: 218-847-5611
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for KRISTINE L STOMPRO · (Female)

NPI # 1922407030
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/14/2014
Last updated 11/14/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • ID License # AT-440
  • MN License # 12586
Hospital affiliation(s)
  • ESSENTIA HEALTH ST MARYS - (Acute Care)
    1027 WASHINGTON AVE
    DETROIT LAKES, MN 56501
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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