Individual
DR. STEPHEN LEE MCCOMBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2550 HORIZON DR, BURNSVILLE, MN 55337-3091
(952) 846-4149
(952) 846-4234
Mailing address
2550 HORIZON DR, BURNSVILLE, MN 55337-3091
(952) 846-4149
(952) 846-4234
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4164
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
349J8MC
BCBS
MN
01
—
649097
GREAT WEST
MN
01
—
71-0920535
PREFERRED PROVIDER ORGANIZATION
MN
01
—
CC1034A
PATIENT CHOICE
MN
Enumeration date
12/13/2006
Last updated
08/07/2008
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