Individual
MS. TIERZA MARIA STEPHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 E 28TH ST, MR 11326, MINNEAPOLIS, MN 55407-3723
(612) 863-7560
(612) 863-3809
Mailing address
800 E 28TH ST, MR 11326, MINNEAPOLIS, MN 55407-3723
(612) 262-1166
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35514
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026818600
—
MN
Enumeration date
03/17/2006
Last updated
11/10/2020
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