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Contact Information

STEPHEN M DELISI, MD
700 RAYMOND AVE STE 130
SAINT PAUL, MN55114-1778
 Phone: 612-699-7778
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for STEPHEN M DELISI · (Male)

NPI # 1528063765
Status Active
Credentials MD
Entity Individual
Enumeration date 06/15/2005
Last updated 05/30/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 48123
  • WI License # 46660
  • WI Medicaid 34550800
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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