| Mark P Stesin Md Pa | |
|
3366 Oakdale Ave N Suite 408 Robbinsdale MN 55422-2948 | |
| (763) 520-5876 | |
| (763) 520-1703 |
| Full Name | Mark P Stesin Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3366 Oakdale Ave N, Robbinsdale, Minnesota |
| Authorized Official Name and Position | Mark Philip Stesin (PRESIDENT) |
| Authorized Official Contact | 7635205876 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark P Stesin Md Pa 3366 Oakdale Ave N Suite 408 Robbinsdale MN 55422-2948 Ph: (763) 520-5876 | Mark P Stesin Md Pa 3366 Oakdale Ave N Suite 408 Robbinsdale MN 55422-2948 Ph: (763) 520-5876 |
| NPI Number | 1225187255 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 04/20/2008 |
| Medicare PECOS PAC ID | 2961476437 |
|---|---|
| Medicare Enrollment ID | O20040820000788 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225187255 | NPI | - | NPPES |
| 16877ST | Other | MN | COMPREHENSIVE CARE |
| DD1669 | Other | MN | RAILROAD MEDICARE |
| 203001 | Other | MN | PREFERRED ONE GROUP CODE |
| 16877ST | Other | MN | BLUE CROSS GROUP CODE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 1250 (Minnesota) | Primary |
| Provider Name | Mark P Stesin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1750430823 PECOS PAC ID: 5991779472 Enrollment ID: I20100414000674 |
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