Mann, Stephen C

Mann, Stephen C is an individual health care provider with primary practice located at 480 Osborne Rd Ne Suite 220, Fridley MN 55432-2773. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Mann, Stephen C can be contacted via phone (763) 786-1620.

Contact Information

Primary practice address
480 Osborne Rd Ne Suite 220 Fridley MN 55432-2773
Phone: (763) 786-1620
Fax: (763) 780-3099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 38246 Minnesota

Profile Details

NPI number 1437241312
LBN Legal business name Mann, Stephen C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Oct 18th, 2011 - about 13 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 1437241312 NPPES
Minnesota MEDICAID 909019300
Minnesota Other HP17750
Minnesota Other 3600800
Minnesota Other 3600800
Minnesota Other 7K191MA
Minnesota Other 109519
Minnesota Other 963001008878
Minnesota Other 410729979

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