CHARLES CLARKE STEWART

ST LOUIS PARK, MN
NPI1306925706
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MN  1641)
Enumeration Date2006-11-04
Last Update Date2007-07-08
Business Address
-- CHARLES CLARKE STEWART
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416-2527
Phone number: 952-993-3615
Mailing Address
-- CHARLES CLARKE STEWART
6465 WAYZATA BLVD STE 315
MINNEAPOLIS, MN 55426-1728
Phone number: