Individual
DR. MARK PHILLIP STESIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3366 OAKDALE AVE N STE 409, ROBBINSDALE, MN 55422-2948
(763) 582-1800
(763) 582-1860
Mailing address
3366 OAKDALE AVE N STE 409, ROBBINSDALE, MN 55422-2948
(763) 582-1800
(763) 582-1860
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
26308
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100194
UCARE MINNESOTA
MN
01
—
1004632
PREFERRED ONE
MN
01
—
30708700
WISCONSIN MEDICAID
WI
01
—
411553229
SELECTCARE MINNESOTA
MN
05
—
525375600
—
MN
01
—
87857ST
BLUE CROSS MN INDIVIDUAL
MN
01
—
DD1669
RAILROAD MEDICARE
MN
01
—
ED0201
AMERICAS PPO
MN
01
—
HP14484
HEALTHPARTNERS
MN
01
—
NO10118
CHAMPUS
MN
Enumeration date
01/09/2007
Last updated
03/27/2025
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