Mahling-Stadum, Jennifer Kathleen

Mahling-Stadum, Jennifer Kathleen is an individual health care provider with primary practice located at 2024 S 6Th St , Brainerd MN 56401-4529. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mahling-Stadum, Jennifer Kathleen can be contacted via phone (218) 828-7100.

Contact Information

Primary practice address
2024 S 6Th St Brainerd MN 56401-4529
Phone: (218) 828-7100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 46787 Minnesota

Profile Details

NPI number 1790761187
LBN Legal business name Mahling-Stadum, Jennifer Kathleen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Jan 8th, 2016 - about 8 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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