Stockenstrom, Trond A

Stockenstrom, Trond A is an individual health care provider with primary practice located at 825 Nicollet Mall Ste 2000, Minneapolis MN 55402-2708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Stockenstrom, Trond A can be contacted via phone (612) 338-4861.

Contact Information

Primary practice address
825 Nicollet Mall Ste 2000 Minneapolis MN 55402-2708
Fax: (612) 333-8306
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 36846 Minnesota

Profile Details

NPI number 1770587180
LBN Legal business name Stockenstrom, Trond A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Oct 8th, 2007 - about 17 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 1770587180 NPPES
Minnesota Other 0800691 SELECTCARE
Minnesota Other 1021630001 SELECTCARE
Minnesota Other 47G42DT SELECTCARE
Minnesota Other 0800691 SELECTCARE
Minnesota Other 0800038 SELECTCARE
Minnesota Other 962531028814 SELECTCARE
Minnesota Other HP34123 SELECTCARE
Minnesota Other 200002101436 SELECTCARE
Minnesota Other 1021630002 SELECTCARE

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