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NPI Code Detail

MEDICARE: CHRISTIAN D. STEVENS M.D.

MEDICARE: CHRISTIAN D. STEVENS M.D.
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
1207LP3000XPediatric Anesthesiology Physician60119MN
2207L00000XAnesthesiology Physician48397WI

General Provider Information

NPI Number : 1538124524
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTIAN D. STEVENS M.D.
Provider Business Mailing Address
First Line : PO BOX 47159
Second Line :
City : PLYMOUTH
State : MN
Zip : 55447-0159
Country : US
Telephone Number : 763-559-3779
Fax Number : 763-450-3986
Provider Business Practice Location Address
First Line : 14700 28TH AVE N STE 20
Second Line :
City : PLYMOUTH
State : MN
Zip : 55447-4876
Country : US
Telephone Number : 763-559-3779
Fax Number : 763-450-3986
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2006
Last Update Date : 11/20/2025

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Directions to “ CHRISTIAN D. STEVENS M.D.” Practice Location

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