Individual
THOMAS ROY STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
METHODIST HOSPITAL, ST LOUIS PARK, MN 55439
(952) 993-6080
Mailing address
5435 FELTL RD, MINNETONKA, MN 55343-7983
(952) 835-9880
(952) 857-1554
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
30696
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30696
MN MEDICAL LICENSE
—
05
—
894787200
—
MN
Enumeration date
03/07/2006
Last updated
11/17/2022
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