Individual
SEAN M STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4300 MARKET PTE DR STE 100, BLOOMINGTON, MN 55435-5435
(952) 767-4574
Mailing address
500 N RAINBOW BLVD, STE. 203, LAS VEGAS, NV 89107-1082
(208) 867-2102
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
283605
NY
207P00000X
Emergency Medicine Physician
Primary
79610
MN
207P00000X
Emergency Medicine Physician
DO2113
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2013
Last updated
06/09/2025
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