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Contact Information

STEPHEN K DU RIVAGE, MD
6845 LEE AVE N
MAIL STOP 31400A
BROOKLYN CENTER, MN55429-1717
 Phone: 763-569-0300
 Fax: 763-569-0311
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for STEPHEN K DU RIVAGE · (Male)

NPI Number 1619941085
Status Active
Credentials MD
Entity Individual
Enumeration date 02/14/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # 29549
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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