STEPHEN H POWLESS

ST LOUIS PARK, MN
NPI1114902780
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy213E00000X Podiatrist
(Licence: MN  348)
Enumeration Date2005-12-07
Last Update Date2012-07-06
Business Address
-- STEPHEN H POWLESS
3900 PARK NICOLLET BLVD PARK NICOLLET CLINIC SLP
ST LOUIS PARK, MN 55416
Phone number: 952-993-2794
Mailing Address
-- STEPHEN H POWLESS
3800 PARK NICOLLET BLVD CREDENTIALING
ST LOUIS PARK, MN 55416-2527
Phone number: