Individual
STEPHEN J HANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4365 PHEASANT RIDGE DR NE STE 106, BLAINE, MN 55449-4544
(888) 938-3838
(888) 919-1083
Mailing address
10001 W INNOVATION DR STE 200, MILWAUKEE, WI 53226-4851
(888) 938-3838
(888) 919-1083
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1164
MN
2085R0202X
Diagnostic Radiology Physician
41722-20
WI
2085R0202X
Diagnostic Radiology Physician
G25116
CA
2085R0202X
Diagnostic Radiology Physician
MD9365
HI
2085R0202X
Diagnostic Radiology Physician
ME103328
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G251160
BLUE SHIELD OF CA
CA
05
—
00G251160
—
CA
05
—
1669423331
—
MN
05
—
MD9365
—
HI
05
—
ME103328
—
FL
Enumeration date
05/15/2006
Last updated
08/30/2022
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