Individual
STEVEN KOUTROUPAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2855 CAMPUS DR STE 630, PLYMOUTH, MN 55441-2665
(763) 233-5755
Mailing address
9647 WYOMING TER S, BLOOMINGTON, MN 55438-1606
(612) 867-4368
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
24325
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178075100
—
MN
Enumeration date
04/05/2006
Last updated
10/08/2018
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