Bevan, Michael Stephen

Bevan, Michael Stephen is an individual health care provider with primary practice located at 825 Nicollet Mall Ste 517 , Minneapolis MN 55402. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Bevan, Michael Stephen can be contacted via phone (612) 788-8778.

Contact Information

Primary practice address
825 Nicollet Mall Ste 517 Minneapolis MN 55402
Phone: (612) 788-8778
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 919 Minnesota

Profile Details

NPI number 1629389341
LBN Legal business name Bevan, Michael Stephen
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2010
Last updated Feb 15th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629389341 NPPES
Minnesota MEDICAID 1629389341

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