Individual
MR. STEPHEN EDWARD BARRON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6490 EXCELSIOR BOULEVARD, MINNESOTA ORTHOPEDICS PA STE W417 MEADOWBROOK MED BLDG, ST LOUIS PARK, MN 55426-4705
(952) 925-2388
(952) 925-0743
Mailing address
6490 EXCELSIOR BOULEVARD, MINNESOTA ORTHOPEDICS PA STE W417 MEADOWBROOK MED BLDG, ST LOUIS PARK, MN 55426-4705
(952) 925-2388
(952) 925-0743
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
20543
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0925945
MEDICA MINNESOTA
MN
01
—
30601BA
BLUE CROSS BLUE SHIELD MN
MN
01
—
924850325020
PREFERRED ONE
—
Enumeration date
06/09/2006
Last updated
07/08/2007
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