Individual
STEPHEN GRYZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 SMITH AVE N, SUITE 300, SAINT PAUL, MN 55102-2533
(651) 726-6200
(651) 726-6201
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
31285
MN
207RP1001X
Pulmonary Disease Physician
Primary
31285
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
827385500
—
MN
Enumeration date
05/12/2006
Last updated
02/21/2014
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