Female

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)

Code

363A00000X

Primary Taxonomy

Yes

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

Provider Address

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