Individual
DANIEL J STEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21490 FAIRVIEW ST, EXCELSIOR, MN 55331-8745
(612) 899-9368
Mailing address
21490 FAIRVIEW ST, EXCELSIOR, MN 55331-8745
(612) 899-9368
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
28823
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110001945
PTAN
MN
01
—
618573800
MEDICAL ASSISTANCE
—
Enumeration date
03/08/2006
Last updated
07/01/2015
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