Individual
STEPHEN J SAHLSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-5131
(320) 240-2118
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-5131
(320) 240-2118
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
27558
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00T49SA
BCBS
—
01
—
110925
U CARE
—
01
—
1728577
MEDICA HEALTH PLANS
—
01
—
2114093
FIRST HEALTH PLAN
—
01
—
309285200
MEDICAL ASSISTANCE
—
01
—
600823
ARAZ GROUP AMERICAS PPO
—
01
—
872004
PREFERRED ONE
—
01
—
HP25510
HEALTH PARTNERS
—
Enumeration date
10/25/2005
Last updated
12/05/2011
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