Organization Name: | STEPPINGSTONE THERAPEUTIC, INC. |
NPI Number: | 1003101833 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY ANDERSON (CEO) |
Mailing Address: | 20288 Highway 15 N Suite 100 Hutchinson |
State: | MN US |
Postal Code: | 553505684 |
Phone Number: | 3205872326 |
Fax Number: | 3202346358 |
NPI Enumeration Date: | 06/09/2011 |
NPI Last Update Date: | 02/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Multi-Specialty |
Taxonomy Definition: |