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Contact Information

STEPHEN H POWLESS
3900 PARK NICOLLET BLVD
PARK NICOLLET CLINIC SLP
SAINT LOUIS PARK, MN55416
 Phone: 952-993-2794
 Fax: 952-993-1955
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for STEPHEN H POWLESS · (Male)

NPI Number 1114902780
Status Active
Credentials
Entity Individual
Enumeration date 12/07/2005
Last updated 07/06/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 348
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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