Healthcare Provider Details

I. General information

NPI: 1265838783
Provider Name (Legal Business Name): GERRI STEGEMAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/11/2014
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3282 WOOD DUCK DR NW
PRIOR LAKE MN
55372-3211
US

IV. Provider business mailing address

3282 WOOD DUCK DR NW
PRIOR LAKE MN
55372-3211
US

V. Phone/Fax

Practice location:
  • Phone: 612-791-6680
  • Fax:
Mailing address:
  • Phone: 612-791-6680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number116668-4
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: