Individual
DR. ELLIOT JAMES PRICE STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
920 E 28TH ST, MINNEAPOLIS, MN 55407-1139
(612) 863-6800
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-1166
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
58229
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770743858
NPI
—
Enumeration date
06/12/2008
Last updated
11/10/2020
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