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1376065987
DAVID MARTIN STEPHAN
DULUTH, MN
NPI
1376065987
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN pending)
Enumeration Date
2017-07-14
Last Update Date
2017-07-14
Business Address
DAVID MARTIN STEPHAN DPT
530 EAST SECOND STREET ESSENTIA HEALTH POLINSKY MEDICAL REHABILITATION
DULUTH, MN 55805-1913
Phone number: 218-786-5360
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Mailing Address
DAVID MARTIN STEPHAN DPT
400 EAST THIRD STREET ESSENTIA HEALTH DULUTH CLINIC MCL2CRED
DULUTH, MN 55805-1951
Phone number: 218-786-1183
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