Individual
STEPHEN EDWARD THORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1010 4TH ST SW, SUITE 220, MASON CITY, IA 50401-2857
(641) 428-5100
(641) 428-5115
Mailing address
621 S ILLINOIS AVE, SUITE 103, MASON CITY, IA 50401-5489
(641) 428-3041
(641) 428-3059
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
29974
IA
207V00000X
Obstetrics & Gynecology Physician
31510
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230588700
—
MN
Enumeration date
01/16/2006
Last updated
08/18/2015
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