Individual
MR. DOUGLAS FRANK STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.,R.N.,C.W.O.C.N.
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 467-3565
Mailing address
1506 LAUREL AVE, APT. #1, SAINT PAUL, MN 55104-7488
(651) 646-1173
Taxonomy
Speciality
Code
Description
License number
State
163WE0900X
Enterostomal Therapy Registered Nurse
Primary
R099903-0
MN
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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