Individual
MR. STEVEN L SENICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13060 ISLE DR, BAXTER, MN 56425-8331
(218) 855-5473
(218) 454-5936
Mailing address
13060 ISLE DR, BAXTER, MN 56425-8331
(218) 855-5473
(218) 454-5936
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
0369092176
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
56720
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036092176
—
IL
Enumeration date
11/30/2006
Last updated
02/06/2014
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