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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STEPHANIE STACKHOUSE, M.D.

Active Sole Proprietor

STEPHANIE STACKHOUSE, M.D. is a Nephrology healthcare provider located in MINNETONKA, Minnesota. NPI 1649723420 is currently active in the NPPES registry. Verify at CMS.

Nephrology · MINNETONKA, MN

Registration Details

NPI Number
1649723420
Provider Type
Individual
Gender
Female
NPI Issued
Jul 28, 2016 (10.077507606692 yrs)
Last Updated
Jul 28, 2016
License
29886 (MN)
Sole Proprietor
Yes

Practice Information

Address
5520 BRISTOL LANE
MINNETONKA, MN, 55343
Browse MN providers · Browse ZIP 55343
Phone
9529380680
Primary Specialty
Nephrology
207RN0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.