Stephen Mark Medin is a Dentist in Willmar, Minnesota. Stephen Mark Medin practices all healthcare services and medical treatments related to Dentist. The NPI Number for Stephen Mark Medin is 1801969803. The last update date is 2012-06-06.
Stephen Mark Medin's current location address is 509 16th Ave Sw, Willmar, Minnesota. You can contact this provider via phone number 3202357742 and fax number 3202354045. The mailing address for Stephen Mark Medin is 509 16th Ave Sw, Willmar, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Mark Medin |
|---|---|
| Address | 509 16th Ave Sw, Willmar, Minnesota |
| Phone Number | 3202357742 |
| Fax Number | 3202354045 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1801969803 |
|---|---|
| Provider Enumeration Date | 2006-11-16 |
| Last Updated Date | 2012-06-06 |
Provider Mailing Address Detail
| Address | 509 16th Ave Sw |
|---|---|
| City | Willmar |
| State | Minnesota (MN) |
| Post Code | 562014118 |
| Phone Number | 3202357742 |
| Fax Number | 3202354045 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 8655 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code assigned to Stephen Mark Medin by the Centers for Medicare & Medicaid Services?
The Stephen Mark Medin has been issued the NPI (National Provider Identifier) 1801969803 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Stephen Mark Medin's facilities are geographically located?
The facilities of Stephen Mark Medin are physically situated at the following location: 509 16Th Ave Sw, Willmar, MN, 562014118.
What is Stephen Mark Medin's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Stephen Mark Medin's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1801969803 to Stephen Mark Medin?
The Stephen Mark Medin received its 1801969803 assignment from the Centers for Medicare & Medicaid Services on 2006-11-16.
When was the information regarding Stephen Mark Medin most recently updated?
The details pertaining to the Stephen Mark Medin, including its address, specialty, and other relevant information, were last refreshed on 2012-06-06.