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Individual

STEPHEN C RIENDL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
640 JACKSON ST, MC 11102H, ST PAUL, MN 55101-2502
(651) 254-3462
(651) 254-1603
Mailing address
8170 33RD AVE S, BLOOMINGTON, MN 55425-4516
(651) 254-4887

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
27188
MN
207RC0000X
Cardiovascular Disease Physician
46063
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
868595900
MN
Enumeration date
02/23/2006
Last updated
08/12/2019
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