ERIC STAVENGER

GOLDEN VALLEY, MN
NPI1033456306
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MN  9077)
Enumeration Date2013-01-07
Last Update Date2013-01-07
Business Address
-- ERIC STAVENGER DPT
7505 COUNTRY CLUB DR
GOLDEN VALLEY, MN 55427-4501
Phone number: 763-450-6902
Mailing Address
-- ERIC STAVENGER DPT
7505 COUNTRY CLUB DR
GOLDEN VALLEY, MN 55427-4501
Phone number:
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