Provider Demographics
NPI:1508833138
Name:STEPHENS, JEFFREY J (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:J
Last Name:STEPHENS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7450 FRANCE AVE S
Mailing Address - Street 2:SUITE 100
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-4787
Mailing Address - Country:US
Mailing Address - Phone:952-832-8100
Mailing Address - Fax:952-832-8176
Practice Address - Street 1:7450 FRANCE AVE S
Practice Address - Street 2:SUITE 100
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-4787
Practice Address - Country:US
Practice Address - Phone:952-832-8100
Practice Address - Fax:952-832-8176
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-02
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MN43454207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN130477OtherPATIENT CHOICE
MN45G79STOtherBLUE CROSS BLUE SHIELD
MN0800554OtherMEDICA
MNH36635OtherHEALTH PARTNERS
MN080014OtherMEDICA DUEL SOLUTIONS
MN960561027483OtherPREFERREDONE
MN130330OtherAMERICA'S PPO/TPA
MN45G79STOtherBLUE CROSS BLUE SHIELD