Shelley R. Stepan PA
Physician Assistant in St Paul, MN(View on Map)
Full Name
Shelley R Stepan PA
NPI Number
1770550741
NPI Type
Individual Provider
Gender
Female
Enumeration Date
03/08/2006
Specialties
(Taxonomies)Licenses
State
Minnesota
License Number
9875
Contact
Information
Purpose
Mailing
Location
Address
8170 33RD AVENUE SOUTH
640 JACKSON ST
City
Bloomington
St Paul
State
MN
MN
Postal Code
55425-1672
55101-2502
Country
US
US
Telephone Number
(952) 883-7172
(651) 254-3456
Identifiers
Identifier
206005100
Identifier State
MN
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 12/16/2016