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Contact Information

STEPHEN BOLOGNA
1406 6TH AVE N
SAINT CLOUD, MN56303
 Phone: 320-255-5657
 Fax: 320-656-7194
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Pathology/Laboratory Medicine

207ZP0105X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for STEPHEN BOLOGNA · (Male)

NPI Number 1053383026
Status Active
Credentials
Entity Individual
Enumeration date 02/03/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 31895
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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