Individual
STEPHAN G BURGESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 SELBY AVE, SAINT PAUL, MN 55104-6619
(651) 358-2425
Mailing address
777 SELBY AVE, SAINT PAUL, MN 55104-6619
(651) 358-2425
(651) 419-6111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32841
MN
Other
Enumeration date
04/21/2006
Last updated
05/06/2021
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