Individual
MR. PHILLIP CHARLES STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
1835 COUNTY ROAD C W STE 150, ROSEVILLE, MN 55113-1343
(651) 430-3800
(651) 430-3827
Mailing address
1950 NORTHWESTERN AVE S, STE 102, STILLWATER, MN 55082-7615
(651) 430-3800
(651) 430-3827
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1068
MN
Other
Enumeration date
10/15/2007
Last updated
03/11/2021
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