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Dr. Teal Ann Sherwin Stefanik, O.D.

Optometrist in Elk River, MN. Individual provider (NPI-1).

NPI number1720198567
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1720198567
Entity type
Individual (NPI-1)
Name
Dr. Teal Ann Sherwin Stefanik
Credential
O.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 30, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist2899MNYes

Practice location

18185 Zane St Nw
Elk River, MN 55330-4505

Phone 763-441-5428

Mailing address

5696 Erik Ln
Shoreview, MN 55126-4842

Phone 651-552-7031

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