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AMY STROMWALL BEACOM MD

Physicians Emergency Medicine Sports Medicine

Provider NPI: 1538137732

Provider Information:
 AMY STROMWALL BEACOM MD
Gender: F
Not Sole Proprietor

Practice Location:
2090 WOODWINDS DR  WOODBURY, MN 55125-2522 US
Tel: 651-968-5801  Fax: 651-968-5899

Business Mailing Address:
710 COMMERCE DR STE 200  WOODBURY, MN 55125-4925 US
Tel: 651-968-5042  Fax: 651-968-5904

NPI Information:
NPI: 1538137732
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207PS0010XPhysicians
Emergency Medicine
Sports Medicine
MN47575

Other Provider Identifiers:

IssuerNumberStateType
RAILROAD MEDICAREP00240678MN01
136614900MN05



American Medical Association 2012 taxonomy code information

Code: 207PS0010X

Type:

Classification:



Definition:



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