Individual
DAVID R VANDERSTEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2530 CHICAGO AVE, #550, MINNEAPOLIS, MN 55404-4289
(612) 813-8000
(612) 813-8005
Mailing address
2530 CHICAGO AVE, #550, MINNEAPOLIS, MN 55404-4289
(612) 813-8000
(612) 813-8005
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
39449
MN
2088P0231X
Pediatric Urology Physician
036152612
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
294225900
—
MN
Enumeration date
03/31/2006
Last updated
04/07/2025
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