Individual
ALLYSON STEVENSON-KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
420 DELAWARE ST SE, MMC 381, MINNEAPOLIS, MN 55455
(612) 625-0646
Mailing address
6225 QUANTICO LN N, MAPLE GROVE, MN 55311-3281
(512) 789-3189
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
62910
MN
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
62910
MN
Other
Enumeration date
05/02/2016
Last updated
09/11/2023
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