Individual
DR. STEPHEN THEODORE LINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8900
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(701) 364-8900
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
12092
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16459
—
ND
05
—
412776
—
AZ
01
—
AZ0775220
BCBS
AZ
Enumeration date
11/01/2006
Last updated
03/27/2018
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