Individual
DR. MARK DOMINIC STEPHANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4050 COON RAPIDS BLVD NW, MERCY HOSPITAL, COON RAPIDS, MN 55433-2522
(763) 236-6000
Mailing address
4050 COON RAPIDS BLVD NW, MERCY HOSPITAL, COON RAPIDS, MN 55433-2522
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
54280
MN
Other
Enumeration date
06/22/2009
Last updated
04/28/2015
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