Individual
MR. STEPHEN D VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
166 19TH ST S, SUITE 101, SARTELL, MN 56377-4654
(320) 230-7788
(320) 230-7789
Mailing address
166 19TH ST S, SUITE 101, SARTELL, MN 56377-4654
(320) 230-7788
(320) 230-7789
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10857
MN
Other
Enumeration date
07/19/2010
Last updated
03/06/2012
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