Individual
DANA MAUREEN STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1575 BEAM AVE, ST. JOHN'S HOSPITAL, MAPLEWOOD, MN 55109-1126
(651) 232-3348
Mailing address
800 EAST 28TH STREET MR 11112, MINNEAPOLIS, MN 55407
(612) 863-6590
(612) 863-5247
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
51641
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19586
RESIDENT PERMIT
MN
Enumeration date
05/07/2008
Last updated
08/24/2017
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