Individual
STEVEN MARK DITTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6363 FRANCE AVE S, SUITE 400, EDINA, MN 55435-2129
(952) 920-2070
(952) 920-7444
Mailing address
6363 FRANCE AVE S, SUITE 400, EDINA, MN 55435-2129
(952) 920-2070
(952) 920-7444
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
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