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Individual

STEVEN C KILWEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1000 HIGHWAY 12, HETTINGER, ND 58639
(701) 567-4561
Mailing address
1100 HIGHWAY 12, HETTINGER, ND 58639-7533
(701) 567-6130

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10774
ND BC/BS
01
123993
WORKERS COMP
05
16529
ND
01
29591
SIOUX VALLEY
05
3018140
WA
Enumeration date
10/03/2006
Last updated
07/08/2007
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