Individual
DR. STEPHEN ALEXANDER IRESTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., N.D.
Contact information
Practice address
11970 PORTLAND AVE, BURNSVILLE, MN 55337-1516
(952) 895-7270
(952) 895-1086
Mailing address
11970 PORTLAND AVE, BURNSVILLE, MN 55337-1516
(952) 895-7270
(952) 895-1086
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2115
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5C993IR
BCBS
MN
Enumeration date
11/28/2006
Last updated
01/31/2012
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