Individual
MICHAEL EDWARD STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501-3409
(218) 847-5611
(218) 847-0881
Mailing address
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501-3409
(218) 847-5611
(218) 847-0881
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
46416
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1040121
PREFERREDONE
MN
01
—
122731
UCARE MINNESOTA
MN
01
—
148L7ST
BLUE SHIELD OF MINNESOTA
MN
01
—
15-79505
UNITED BEHAVIORAL HEALTH
MN
05
—
721147300
—
MN
01
—
HP24872
HEALTHPARTNERS
MN
01
—
P00107843
RAILROAD MEDICARE
MN
Enumeration date
06/14/2006
Last updated
05/31/2012
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