Stephen H Powless in St Louis Park - Podiatrist

Stephen H Powless - NPI 1114902780

Stephen H Powless is a Podiatrist in St Louis Park, Minnesota. Stephen H Powless practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Stephen H Powless is 1114902780. The last update date is 2012-07-06.

Stephen H Powless's current location address is 3900 Park Nicollet Blvd, St Louis Park, Minnesota. You can contact this provider via phone number 9529932794 and fax number 9529931955. The mailing address for Stephen H Powless is 3900 Park Nicollet Blvd, St Louis Park, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen H Powless
Address 3900 Park Nicollet Blvd, St Louis Park, Minnesota
Phone Number 9529932794
Fax Number 9529931955
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1114902780
Provider Enumeration Date 2005-12-07
Last Updated Date 2012-07-06

Provider Mailing Address Detail

Address 3900 Park Nicollet Blvd
City St Louis Park
State Minnesota (MN)
Post Code 55416
Phone Number 9529932794
Fax Number 9529931955

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No 348
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

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FAQs about Stephen H Powless

What is the Stephen H Powless's 1114902780?

The Stephen H Powless's NPI (National Provider Identifier) Number is 1114902780. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Stephen H Powless is located?

The Stephen H Powless is situated at the following address: 3900 Park Nicollet Blvd, St Louis Park, MN, 55416.

What is the Stephen H Powless's specialty and taxonomy code?

The Stephen H Powless's specialty is Podiatrist, and the corresponding taxonomy code is 213E00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1114902780 to Stephen H Powless?

The Centers for Medicare & Medicaid Services originally issued the 1114902780 to Stephen H Powless on 2005-12-07.

As of what date was the information pertaining to Stephen H Powless, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Stephen H Powless, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-07-06.

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