Individual
MR. STEPHEN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMT, LMT
Contact information
Practice address
3647 CEDAR AVE S, MINNEAPOLIS, MN 55407-2919
(612) 728-0223
Mailing address
3647 CEDAR AVE S, MINNEAPOLIS, MN 55407-2919
(612) 728-0223
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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