NPI 1447362900
Stian R Mjanger, MD
Practice location
- Address
- 1575 Beam Ave, Maplewood, MN 55109-1126
- Phone
- (651) 735-0501
- Fax
- (651) 735-1870
- Mailing address
- 8681 Eagle Point Blvd, Lake Elmo, MN 55042-8628
Registered specialties
Anesthesiology Physician
Primary
Registry record
- NPI
- 1447362900
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 31 Aug 2006
- Record last updated
- 22 Mar 2010
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.