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NPI Code Detail

MEDICARE: MS. CAROLINE LOUISE STEIN PA-C

MEDICARE: MS. CAROLINE LOUISE STEIN PA-C
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
1363A00000XPhysician Assistant10556MN

General Provider Information

NPI Number : 1851537674
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CAROLINE LOUISE STEIN PA-C
Provider Business Mailing Address
First Line : 6445 RICHFIELD PKWY
Second Line :
City : RICHFIELD
State : MN
Zip : 55423-6400
Country : US
Telephone Number : 612-252-0473
Fax Number :
Provider Business Practice Location Address
First Line : 6445 RICHFIELD PKWY
Second Line :
City : RICHFIELD
State : MN
Zip : 55423-6400
Country : US
Telephone Number : 612-252-0473
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2008
Last Update Date : 01/16/2016

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Directions to “ MS. CAROLINE LOUISE STEIN PA-C” Practice Location

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