MEDICARE: ALEXANDER B STEGEMAN D.O

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
1	2084P0800X	Psychiatry Physician	58228	MN

General Provider Information

NPI Number	:	1588982482
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDER B STEGEMAN D.O

Provider Business Mailing Address
First Line	:	1919 UNIVERSITY AVE W
Second Line	:	#200
City	:	SAINT PAUL
State	:	MN
Zip	:	55104-3453
Country	:	US
Telephone Number	:	651-266-7999
Fax Number	:	651-266-7850

Provider Business Practice Location Address
First Line	:	2120 FORD PKWY
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55116-1863
Country	:	US
Telephone Number	:	651-241-9600
Fax Number	:	651-241-9593

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2010
Last Update Date	:	06/23/2022

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