Organization
MARK P STESIN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK PHILIP STESIN MD (PRESIDENT)
(763) 520-5876
Entity
Organization
Contact information
Practice address
3366 OAKDALE AVE N, SUITE 408, ROBBINSDALE, MN 55422-2948
(763) 520-5876
(763) 520-1703
Mailing address
3366 OAKDALE AVE N, SUITE 408, ROBBINSDALE, MN 55422-2948
(763) 520-5876
(763) 520-1703
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
1250
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16877ST
COMPREHENSIVE CARE
MN
01
—
203001
PREFERRED ONE GROUP CODE
MN
01
—
DD1669
RAILROAD MEDICARE
MN
Enumeration date
01/09/2007
Last updated
04/20/2008
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