Individual
MR. SCOTT ROBERT STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1431 PREMIER DRIVE, MANKATO, MN 56001
(507) 386-6600
(507) 625-5971
Mailing address
1431 PREMIER DRIVE, MANKATO, MN 56001
(507) 386-6600
(507) 625-5971
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
41734
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0907651
MEDICA, MANKATO
MN
01
—
123637C572
UCARE MN
MN
05
—
284088000
—
MN
01
—
410940705H002
TRICARE/WPS
MN
01
—
42B11ST
BCBS OF MN
MN
01
—
983181020435
PREFERRED ONE
MN
01
—
HP29328
HEALTH PARTNERS
MN
Enumeration date
02/22/2006
Last updated
07/22/2011
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