Individual
MICHELLE L STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 COMO AVE, SAINT PAUL, MN 55108-1460
(652) 641-6200
(651) 641-6295
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
32399
MN
2080P0208X
Pediatric Infectious Diseases Physician
32399
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390213700
—
MN
Enumeration date
02/28/2006
Last updated
08/10/2021
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