Individual
STEVEN LINDBLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2736
(320) 253-2663
Mailing address
720 WASHINGTON AVE SE STE 300, MINNEAPOLIS, MN 55414-2904
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
12282
MN
Other
Enumeration date
08/12/2016
Last updated
12/04/2019
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