Organization · Type 2 NPI

Stanley J. Antolak Jr. MD PA

Specialist · Lake Elmo, MN

NPI number 1508930512 Active

Practice location

8650 Hudson Blvd N, Suite 325
Lake Elmo, MN 55042-9747

Call (651) 735-9355 Map

Fax (651) 735-0726

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X16329 (MN)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

28 other providers at this address

About NPI 1508930512

Stanley J. Antolak Jr. MD PA's National Provider Identifier is 1508930512, issued on Nov 20, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lake Elmo, MN. The record was last updated on Aug 22, 2020.