Healthcare Provider Details
I. General information
NPI: 1912976564
Provider Name (Legal Business Name): STEVEN E CALVIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/16/2006
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
347 SMITH AVE N 204
SAINT PAUL MN
55102-2387
US
IV. Provider business mailing address
1441 N 12TH ST FL 23
PHOENIX AZ
85006-2837
US
V. Phone/Fax
- Phone: 651-241-6270
- Fax: 651-220-5185
- Phone: 602-521-5700
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VX0000X |
| Taxonomy | Obstetrics Physician |
| License Number | 14642 |
| License Number State | AZ |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2080N0001X |
| Taxonomy | Neonatal-Perinatal Medicine Physician |
| License Number | 26828 |
| License Number State | MN |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VM0101X |
| Taxonomy | Maternal & Fetal Medicine Physician |
| License Number | 14642 |
| License Number State | AZ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: