Individual
KEVIN M STEADLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3960 COON RAPIDS BLVD NW, SUITE 104, COON RAPIDS, MN 55433-2569
(763) 236-9000
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
36427
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292565600
—
MN
Enumeration date
03/24/2006
Last updated
11/10/2020
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