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Contact Information

JENNIFER A STANEK, MS, PAC
5803 NEAL AVE N
OAK PARK HEIGHTS, MN55082-2177
 Phone: 651-439-8807
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JENNIFER A STANEK · (Female)

NPI # 1063412112
Status Active
Credentials MS, PAC
Entity Individual
Enumeration date 07/29/2005
Last updated 06/30/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 10090
  • WI License # 1500-23
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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