Provider Demographics
NPI:1013195791
Name:RODSTEIN, SHEILA RAE (MD)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:RAE
Last Name:RODSTEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 TOWN CENTRE DR
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55123-1033
Mailing Address - Country:US
Mailing Address - Phone:651-326-1515
Mailing Address - Fax:651-326-1519
Practice Address - Street 1:1215 TOWN CENTRE DR
Practice Address - Street 2:
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55123-1033
Practice Address - Country:US
Practice Address - Phone:651-326-1515
Practice Address - Fax:651-326-1519
Is Sole Proprietor?:No
Enumeration Date:2008-02-05
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN38902207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine