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Individual

DAVID C STEVENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
204 S ADAMS ST, SAINT CROIX FALLS, WI 54024-9449
(715) 483-3221
Mailing address
204 S ADAMS ST, SAINT CROIX FALLS, WI 54024-9449
(715) 483-3221

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
45175
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0405623
MEDICA
01
091K7SY
BLUE CROSS MN FACILITY
MN
01
091K8ST
BLUE CROSS MN PRO FEE
MN
05
34374400
WI
01
HP38556
HEALTHPARTNERS
01
NA9031040062
PREFERREDONE
01
P00017813
RAILROAD
Enumeration date
09/02/2006
Last updated
03/19/2008
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