Whalio Doctors

NPI 1447362900

Stian R Mjanger, MD

Practitioner Anesthesiology Physician Maplewood, MN

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
Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 47352 (MN)

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.