# MARK P STESIN MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225187255
- **Authorized official:** DR. MARK PHILIP STESIN MD (PRESIDENT)
- **Authorized official phone:** (763) 520-5876

## Contact information

- **Practice address:** 3366 OAKDALE AVE N, SUITE 408, ROBBINSDALE, MN 55422-2948
- **Practice address phone:** (763) 520-5876
- **Practice address fax:** (763) 520-1703
- **Mailing address:** 3366 OAKDALE AVE N, SUITE 408, ROBBINSDALE, MN 55422-2948
- **Mailing address phone:** (763) 520-5876
- **Mailing address fax:** (763) 520-1703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 1250 | MN | Yes |

## Other

- **Enumeration date:** 01/09/2007
- **Last updated:** 04/20/2008
