Individual
STEFAN LEROY KAISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 9TH ST. N, ESSENTIA HEALTH VIRGINIA CLINIC, VIRGINIA, MN 55792
(218) 741-0150
Mailing address
1101 9TH ST. N, ESSENTIA HEALTH VIRGINIA CLINIC, VIRGINIA, MN 55792
(218) 741-0150
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
53591
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609037324
—
MN
Enumeration date
06/25/2008
Last updated
05/09/2011
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