Individual
CHARLES W STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1217 8TH ST N, NEW ULM, MN 56073
(507) 233-1000
Mailing address
1217 8TH ST N, NEW ULM, MN 56073
(507) 233-1000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38489
MN
Other
Enumeration date
09/25/2006
Last updated
01/29/2012
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