Provider Demographics
NPI:1033179866
Name:APPLEBAUM, STEVE G (MD)
Entity Type:Individual
Prefix:
First Name:STEVE
Middle Name:G
Last Name:APPLEBAUM
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Gender:M
Credentials:MD
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Mailing Address - Street 1:8170 33RD AVE S
Mailing Address - Street 2:MS 21110Q
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55425-4516
Mailing Address - Country:US
Mailing Address - Phone:763-587-4688
Mailing Address - Fax:763-587-4662
Practice Address - Street 1:15245 BLUEBIRD STREET NW
Practice Address - Street 2:HEALTHPARTNERS RIVERWAY ANDOVER URGENT CARE
Practice Address - City:ANDOVER
Practice Address - State:MN
Practice Address - Zip Code:55304-3554
Practice Address - Country:US
Practice Address - Phone:763-587-4688
Practice Address - Fax:763-587-4662
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2014-04-14
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Provider Licenses
StateLicense IDTaxonomies
MN34738207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN548368900Medicaid
A97611Medicare UPIN
MN548368900Medicaid