Individual
DAVID MARTIN STEPHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
530 EAST SECOND STREET, ESSENTIA HEALTH POLINSKY MEDICAL REHABILITATION, DULUTH, MN 55805-1913
(218) 786-5360
Mailing address
400 EAST THIRD STREET, ESSENTIA HEALTH DULUTH CLINIC MCL2CRED, DULUTH, MN 55805-1951
(218) 786-1183
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PENDING
MN
Other
Enumeration date
07/14/2017
Last updated
07/14/2017
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