Individual
STEFAN SLOCUM BUETOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
14000 FAIRVIEW DR, BURNSVILLE, MN 55337-5713
(952) 993-8700
Mailing address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
(269) 337-4400
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
62204
MN
390200000X
Student in an Organized Health Care Education/Training Program
5101020778
MI
Other
Enumeration date
06/28/2013
Last updated
07/21/2022
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