Individual
PAUL STEVEN STADEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6845 LEE AVE N, BROOKLYN CENTER, MN 55429-1717
(763) 503-4400
(763) 503-4395
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
66010
MN
Other
Enumeration date
04/15/2018
Last updated
07/28/2021
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