ELLEN DIANE STEPHAN

DEER RIVER, MN
NPI1871873521
Former NameELLEN DIANE LEVER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MN  R185045-3)
Enumeration Date2011-08-26
Last Update Date2017-02-22
Business Address
-- ELLEN DIANE STEPHAN CNP
1025 10TH AVE NE
DEER RIVER, MN 56636-8703
Phone number: 218-246-8275
Mailing Address
-- ELLEN DIANE STEPHAN CNP
4212 GRAND AVENUE EH WEST DULUTH CLINIC
DULUTH, MN 55807-2737
Phone number: 218-786-3500
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