Provider Demographics
NPI:1467195560
Name:STENERSEN, ANNE MARIE MAGNUSON (DO)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:MARIE MAGNUSON
Last Name:STENERSEN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3850 PARK NICOLLET BLVD STE 260
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416-2527
Mailing Address - Country:US
Mailing Address - Phone:952-993-3850
Mailing Address - Fax:
Practice Address - Street 1:3850 PARK NICOLLET BLVD STE 260
Practice Address - Street 2:
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416-2527
Practice Address - Country:US
Practice Address - Phone:952-993-3850
Practice Address - Fax:952-993-3761
Is Sole Proprietor?:No
Enumeration Date:2022-04-16
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN75199207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine