Organization
LIFESTEPS FAMILY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTORIA L SHANK M.D. (PRESIDENT)
(651) 249-8789
Entity
Organization
Contact information
Practice address
4520 CENTERVILLE RD, SAINT PAUL, MN 55127-3602
(651) 426-2440
Mailing address
4520 CENTERVILLE RD, SAINT PAUL, MN 55127-3602
(651) 426-2440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43568
MN
Other
Enumeration date
06/28/2007
Last updated
08/22/2020
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