Individual
DR. STEPHEN BLYTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
347 SMITH AVE N, SUITE # 502, SAINT PAUL, MN 55102-2387
(651) 248-2113
Mailing address
8680 KIMBRO LN N, STILLWATER, MN 55082-4507
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
29961
MN
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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