Sundberg, Stephen Bruce

Sundberg, Stephen Bruce is an individual health care provider with primary practice located at 200 University Ave E , Saint Paul MN 55101-2507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Sundberg, Stephen Bruce can be contacted via phone (651) 602-3262.

Contact Information

Primary practice address
200 University Ave E Saint Paul MN 55101-2507
Phone: (651) 602-3262
Fax: (651) 312-3188
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 25520 Minnesota

Profile Details

NPI number 1396781696
LBN Legal business name Sundberg, Stephen Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Mar 8th, 2019 - about 6 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 1396781696 NPPES
Minnesota Other 200002897 MEDICARE UPIN
Minnesota MEDICAID 253772900 MEDICARE UPIN

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