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1053414466
STEVEN MARK BARDOLPH
BRAINERD, MN
NPI
1053414466
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: MN 23861)
Enumeration Date
2006-09-07
Last Update Date
2007-07-08
Business Address
-- STEVEN MARK BARDOLPH MD
2014 SO 6TH ST
BRAINERD, MN 56401
Phone number: 218-829-7812
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Mailing Address
-- STEVEN MARK BARDOLPH MD
11077 LEISURE LANE
BRAINERD, MN 56401
Phone number: 218-764-2777
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