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NPI Code Detail

MEDICARE: DR. STEVEN LEWIS CLAWSON DDS

MEDICARE:  DR. STEVEN LEWIS CLAWSON  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist8435MN

General Provider Information

NPI Number : 1477527216
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN LEWIS CLAWSON DDS
Provider Business Mailing Address
First Line : PO BOX 380
Second Line :
City : NORTH BRANCH
State : MN
Zip : 55056-0380
Country : US
Telephone Number : 651-674-8128
Fax Number :
Provider Business Practice Location Address
First Line : 6364 MAIN ST
Second Line :
City : NORTH BRANCH
State : MN
Zip : 55056-6693
Country : US
Telephone Number : 651-674-8128
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2006
Last Update Date : 07/08/2007

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Directions to “ DR. STEVEN LEWIS CLAWSON DDS” Practice Location

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