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Individual

STEVEN MARK DITTES

Active
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Individual

STEVEN MARK DITTES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
027837
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
068700600
MN
01
0734002
PREFERRED ONE
MN
01
101033C027
UCARE
MN
01
110161177
RAILROAD MEDICARE
MN
01
21899
FHP PROVIDER NUMBER
MN
01
31577300
WISCONSIN MEDICAL ASSISTA
WI
01
34Q16DI
BLUE CROSS BLUE SHIELD
MN
01
9219373
PHP PROVIDER NUMBER
MN
01
9290114
MEDICA
MN
01
HP13170
HEALTHPARTNERS
MN
Enumeration date
08/09/2006
Last updated
08/21/2013
Update your record

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