Individual
STEPHEN D. MEADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5301 VERNON AVE S, EDINA, MN 55436-2303
(952) 925-2200
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38025
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
898814500
—
MN
Enumeration date
05/15/2006
Last updated
11/03/2022
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