Individual
STEWART DELOS COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4874 SAGE HEN CIR, LAKE OSWEGO, OR 97035-8233
(952) 595-1100
(612) 294-4903
Mailing address
11995 SINGLETREE LN, STE 500, EDEN PRAIRIE, MN 55344-5347
(952) 595-1301
(612) 294-4903
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
DO 10324
OR
Other
Enumeration date
11/13/2006
Last updated
07/26/2016
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