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Individual
STEPHEN M BOCKHOLD
Active
Individual
STEPHEN M BOCKHOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49675
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174732952
MEDICA
—
01
—
16P73BO
BCBS
MN
05
—
857913100
—
MN
01
—
P00436607
RRMEDICARE PTAN
—
Enumeration date
05/21/2007
Last updated
08/20/2026
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