Individual
DR. STEPHEN BRYAN WAHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1575 SHERWOOD RD, SHOREVIEW, MN 55126-8517
(651) 341-3630
Mailing address
855 VILLAGE CENTER DR, #329, NORTH OAKS, MN 55127-3016
(651) 341-3630
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
370
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104402
U CARE MINNESOTA
MN
01
—
18033
HEALTH PARTNERS
MN
01
—
27-11884
MEDICA PROVIDER NO.
MN
05
—
846471
—
MN
Enumeration date
03/14/2007
Last updated
07/09/2007
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