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Contact Information

JOEL T STEVENS, PA-C
856 MANKATO AVE
WINONA, MN55987
 Phone: 507-864-7726
 Fax: 507-864-2668
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JOEL T STEVENS · (Male)

NPI # 1245255421
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/12/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 001596
  • IA Medicaid 38004
Hospital affiliation(s)
  • WINONA HEALTH SERVICES - (Acute Care)
    855 MANKATO AVENUE
    WINONA, MN 55987
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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