| Stillwater Medical Group | |
|
1500 Curve Crest Blvd W Stillwater MN 55082-6040 | |
| (651) 439-1234 | |
| Not Available |
| Full Name | Stillwater Medical Group |
|---|---|
| Speciality | General Practice |
| Location | 1500 Curve Crest Blvd W, Stillwater, Minnesota |
| Authorized Official Name and Position | Matt Richie (CFO) |
| Authorized Official Contact | 6514391234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stillwater Medical Group Po Box 1309 Ms 21110q Minneapolis MN 55440-1309 Ph: () - | Stillwater Medical Group 1500 Curve Crest Blvd W Stillwater MN 55082-6040 Ph: (651) 439-1234 |
| NPI Number | 1871979237 |
|---|---|
| Provider Enumeration Date | 08/07/2015 |
| Last Update Date | 08/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871979237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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