Individual
DR. STEPHEN C MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
480 OSBORNE RD NE, SUITE 220, FRIDLEY, MN 55432-2773
(763) 786-1620
(763) 780-3099
Mailing address
480 OSBORNE RD NE, SUITE 220, FRIDLEY, MN 55432-2773
(763) 786-1620
(763) 780-3099
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
38246
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109519
UCARE
MN
01
—
3600800
SELECT CARE
MN
01
—
410729979
COMMERCIAL
MN
01
—
7K191MA
BLUE CROSS BLUE SHIELD
MN
05
—
909019300
—
MN
01
—
963001008878
PREFERRED ONE
MN
01
—
HP17750
HEALTH PARTNERS
MN
Enumeration date
09/29/2006
Last updated
10/18/2011
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