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Dr. Stanley John Antolak Jr., M.D.

Urology in Minneapolis, MN. Individual provider (NPI-1).

NPI number1881663169
StatusActive
Last updated in NPPESFeb 4, 2009

Details

NPI
1881663169
Entity type
Individual (NPI-1)
Name
Dr. Stanley John Antolak Jr.
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Mar 17, 2006
Last updated
Feb 4, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208800000X Urology16329MNYes

Practice location

7400 France Ave S
Suite 100
Minneapolis, MN 55435-4738

Phone 763-537-6000 · Fax 763-537-6666

Mailing address

2104 Northdale Blvd Nw
Suite 220
Minneapolis, MN 55433-3028

Phone 763-537-6000 · Fax 763-537-6666

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