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Individual

DR. STEPHEN DENNIS NORTHROP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.D.

Contact information

Practice address
12865 W AUDREY AVE, BEACH PARK, IL 60087-3444
(218) 349-7058
Mailing address
3624 E 1ST ST, DULUTH, MN 55804-1800
(218) 349-7058

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
29638
CA
2084N0400X
Neurology Physician
Primary
036087093
IL
2084N0400X
Neurology Physician
38583020
WI
2084N0400X
Neurology Physician
81051
FL

Other

Enumeration date
10/19/2010
Last updated
10/19/2010
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