NPI 1063629368

Peter Stasica

Practitioner Prosthetist Saint Paul, MN

Practice location

Address: 2200 University Ave W #114, Saint Paul, MN 55114-1839
Phone: (651) 644-5800
Mailing address: 1320 103rd Ln NW, Coon Rapids, MN 55433-7115

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Registry record

NPI: 1063629368
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.