Stevens, Michelle L

Stevens, Michelle L is an individual health care provider with primary practice located at 2500 Como Ave , Saint Paul MN 55108-1460. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Stevens, Michelle L can be contacted via phone (652) 641-6200.

Contact Information

Primary practice address
2500 Como Ave Saint Paul MN 55108-1460
Phone: (652) 641-6200
Fax: (651) 641-6295
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 32399 Minnesota
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 32399 Minnesota

Profile Details

NPI number 1699741728
LBN Legal business name Stevens, Michelle L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Aug 10th, 2021 - about 4 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 1699741728 NPPES
Minnesota MEDICAID 390213700

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