STEVEN MARK BARDOLPH

BRAINERD, MN
NPI1053414466
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: MN  23861)
Enumeration Date2006-09-07
Last Update Date2007-07-08
Business Address
-- STEVEN MARK BARDOLPH MD
2014 SO 6TH ST
BRAINERD, MN 56401
Phone number: 218-829-7812
Mailing Address
-- STEVEN MARK BARDOLPH MD
11077 LEISURE LANE
BRAINERD, MN 56401
Phone number: 218-764-2777