Individual
STEVEN H BOLLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
(320) 240-2205
(320) 229-5174
Mailing address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
(320) 240-2205
(320) 229-5174
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
36474
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100000454
MEDICARE
—
01
—
100012940
RR MEDICARE
—
01
—
1020103
PREFERRED ONE
—
01
—
123622
U CARE
—
01
—
2129271
FIRST HEALTH PLAN
—
01
—
2900212
MEDICA HEALTH PLANS
—
01
—
502R1BO
BLUE CROSS BLUE SHIELD
—
01
—
68D58BO
BLUE CROSS BLUE SHIELD
—
01
—
795453
ARAZ GROUP AMERICAS PPO
—
01
—
806765100
MEDICAL ASSISTANCE
—
01
—
CQ2388
RR MEDICARE
—
01
—
HP23378
HEALTH PARTNERS
—
Enumeration date
10/28/2005
Last updated
11/22/2011
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