Healthcare Provider Details

I. General information

NPI: 1598629321
Provider Name (Legal Business Name): WOW LOOK NOW LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2237 ROOSEVELT RD
SAINT CLOUD MN
56301-5161
US

IV. Provider business mailing address

2237 ROOSEVELT RD
SAINT CLOUD MN
56301-5161
US

V. Phone/Fax

Practice location:
  • Phone: 320-428-6402
  • Fax:
Mailing address:
  • Phone: 320-428-6402
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: ANGELA NICOLE STENMAN
Title or Position: OWNER
Credential:
Phone: 320-428-6402