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Contact Information

STEPHEN L LISTON, MD
347 SMITH AVE N
STE 602
SAINT PAUL, MN55102-2387
 Phone: 651-227-0821
 Fax: 651-297-6597
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for STEPHEN L LISTON · (Male)

NPI # 1841283843
Status Active
Credentials MD
Entity Individual
Enumeration date 08/24/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # 23911
  • MN Other 20939 AMERICA'S PPO
  • MN Other 38T53LI BLUE SHIELD
  • MN Other 1001957 MEDICA CHOICE
  • MN Other 1000010 MEDICA PRIMARY
  • MN Other 1001957 MEDICACHOICE
  • MN Other 572001 PREFERRED ONE
  • MN Other 100653 UCARE
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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