Provider Demographics
NPI:1073610374
Name:STEENSON, CAROL COLEMAN (MD)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:COLEMAN
Last Name:STEENSON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1 VETERANS DRIVE, DEPT OF IMAGING (114)
Mailing Address - Street 2:MINNEAPOLIS VA HEALTH CARE SYSTEM
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55417
Mailing Address - Country:US
Mailing Address - Phone:612-467-2038
Mailing Address - Fax:612-467-5635
Practice Address - Street 1:1 VETERANS DRIVE, DEPT OF IMAGING (114)
Practice Address - Street 2:MINNEAPOLIS VA HEALTH CARE SYSTEM
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55417
Practice Address - Country:US
Practice Address - Phone:612-467-2038
Practice Address - Fax:612-467-5635
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN211272085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1012954OtherPREFERRED ONE
MN17Y76STOtherBLUE CROSS BLUE SHIELD
MN16-01937OtherMEDICA CHOICE
MN115754OtherUCARE
MN16-02032OtherMEDICA PRIMARY
MN665000700Medicaid
MN768363OtherARAZ
MNHP22228OtherHEALTH PARTNERS
MN16-02032OtherMEDICA PRIMARY