Clark, Stephanie

Clark, Stephanie is an individual health care provider with primary practice located at 7920 Old Cedar Ave S , Bloomington MN 55425-1207. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Clark, Stephanie can be contacted via phone (952) 428-1800.

Contact Information

Primary practice address
7920 Old Cedar Ave S Bloomington MN 55425-1207
Phone: (952) 428-1800
Fax: (952) 428-1723
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 52997 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 14465 Minnesota

Profile Details

NPI number 1427413590
LBN Legal business name Clark, Stephanie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2015
Last updated Dec 5th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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