Individual
JON WILLIAM STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 E 3RD ST, ESSENTIA HEALTH DULUTH CLINIC, DULUTH, MN 55805-1951
(218) 786-4150
Mailing address
400 E 3RD ST, EH DULUTH CLINIC MCL2CRED, DULUTH, MN 55805-1951
(218) 786-4150
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
52539
MN
207L00000X
Anesthesiology Physician
53696-20
WI
Other
Enumeration date
10/27/2006
Last updated
02/28/2017
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