Steven W Hallstrom MD

NPI 1780690735 - Family Medicine - 207Q00000X

NPI Details
NPI 1780690735
Gender Male
Enumeration Date 07/31/2006
Last Updated 10/14/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
2601 CENTENNIAL DR
SUITE 100
NORTH ST PAUL MN, 55109-3086, US
Phone (651) 777-7414
Fax (651) 748-5839
Business Location
2025 SLOAN PL
SUITE 35
SAINT PAUL MN, 55117-2007, US
Phone (651) 772-1572
Fax (651) 772-1889
Toxanomy
Taxonomy Code 207Q00000X
License State Minnesota
License Number 24784
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According to our database, Steven W Hallstrom MD NPI is 1780690735, taxonomy code is 207Q00000X and license number is 24784, license state is located at Minnesota. Steven W Hallstrom MD physically located at 2601 Centennial Dr, North St Paul MN, 55109-3086. NPI Number Steven W Hallstrom MD has the Individual type.

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1780690735 NPI number is provided on an as is basis without warranty of any kind. 1780690735 is maintained by the National Plan & Provider Enumeration System. The contents of Steven W Hallstrom MD are for informational purposes only.