Anderson, Stacia S

Anderson, Stacia S is an individual health care provider with primary practice located at 1900 Centracare Cir , Saint Cloud MN 56303-5000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Anderson, Stacia S can be contacted via phone (320) 654-3630.

Contact Information

Primary practice address
1900 Centracare Cir Saint Cloud MN 56303-5000
Phone: (320) 654-3630
Fax: (320) 654-3657
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 44297 Minnesota

Profile Details

NPI number 1720079981
LBN Legal business name Anderson, Stacia S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Nov 22nd, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720079981 NPPES
Other 1030414 PREFERRED ONE
Other 1855107 PREFERRED ONE
Other 55G63AN PREFERRED ONE
Other COMP PREFERRED ONE
Other 1545844 PREFERRED ONE
Other C11369 PREFERRED ONE
Other COMP PREFERRED ONE
Other 0702359 PREFERRED ONE
Other 160056138 PREFERRED ONE
Other 052720300 PREFERRED ONE
Other HP34883 PREFERRED ONE
Other COMP PREFERRED ONE
Other 141335 PREFERRED ONE

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