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1831175322

NPI Code Detail

MEDICARE: STEPHEN A MCCUE MD

MEDICARE: STEPHEN A MCCUE MD

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	207V00000X	Obstetrics & Gynecology Physician	21055	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11065MC	OTHER		BCBS
2	A94835	OTHER		CHOICE PLUS
3	0010468	OTHER		PREFERRED ONE
4	0700551	OTHER		SELECT CARE
5	31294800	OTHER		WISCONSIN MA
6	960980010468	OTHER		PEAK PROVIDER #
7	960980010468	OTHER		PRE1CH PROVIDER #
8	HP13936	OTHER		EMHO
9	0700551	OTHER		MEDICA CHOICE
10	92336	OTHER		MEDICA PRIMARY

General Provider Information

NPI Number	:	1831175322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN A MCCUE MD

Provider Business Mailing Address
First Line	:	17 EXCHANGE ST W
Second Line	:	#622 METROPOLITAN OBSTETRICS & GYNECOLOGY PA
City	:	SAINT PAUL
State	:	MN
Zip	:	55102-1045
Country	:	US
Telephone Number	:	651-227-9141
Fax Number	:	651-265-6772

Provider Business Practice Location Address
First Line	:	1650 BEAM AVE
Second Line	:	#102 METROPOLITAN OBSTETRICS & GYNECOLOGY PA
City	:	MAPLEWOOD
State	:	MN
Zip	:	55109-1192
Country	:	US
Telephone Number	:	651-770-1385
Fax Number	:	651-770-0672

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

Provider Enumeration Date	:	12/16/2005
Last Update Date	:	07/09/2007

Similar Medicare Providers

1700882495 — MR. JAMES W ADAMS MD
Practice Location Address:

1560 BEAM AVENUE , SUITE F
MAPLEWOOD, MN
55109-1192

Practice Phone: 651-773-0450
Practice Fax: 651-773-0458

1356333116 — DR. ZOHREH MAHDAVI M.D.
Practice Location Address:

1650 BEAM AVE , SUITE 200
MAPLEWOOD, MN
55109-1192

Practice Phone: 651-221-9051
Practice Fax: 651-223-5220

1629060496 — DR. CHARLES F. ORMISTON M.D.
Practice Location Address:

1650 BEAM AVE , SUITE 200
MAPLEWOOD, MN
55109-1192

Practice Phone: 651-221-9051
Practice Fax: 651-223-5220

1073505822 — DR. PAUL M. SCHANFIELD M.D.
Practice Location Address:

1650 BEAM AVE , SUITE 200
MAPLEWOOD, MN
55109-1192

Practice Phone: 651-221-9051
Practice Fax: 651-223-5220

1285626036 — DR. NADEEM IQBAL M.D.
Practice Location Address:

1650 BEAM AVE , SUITE 200
MAPLEWOOD, MN
55109-1192

Practice Phone: 651-221-9051
Practice Fax: 651-223-5220

1609868470 — DR. THOMAS R. JACQUES M.D.
Practice Location Address:

1650 BEAM AVE , SUITE 200
MAPLEWOOD, MN
55109-1192

Practice Phone: 651-221-9051
Practice Fax: 651-223-5220

Directions to “ STEPHEN A MCCUE MD” Practice Location

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