Individual
CHARLES CLARKE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-3615
Mailing address
6465 WAYZATA BLVD, STE 315, MINNEAPOLIS, MN 55426-1728
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1641
MN
Other
Enumeration date
11/04/2006
Last updated
07/08/2007
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