Individual
STEPHEN H POWLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3900 PARK NICOLLET BLVD, PARK NICOLLET CLINIC SLP, ST LOUIS PARK, MN 55416
(952) 993-2794
(952) 993-1955
Mailing address
3800 PARK NICOLLET BLVD, CREDENTIALING, ST LOUIS PARK, MN 55416-2527
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
348
MN
Other
Enumeration date
12/07/2005
Last updated
07/06/2012
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