Provider Demographics
NPI:1518534874
Name:STEEN, TOBIAS C (PA-C)
Entity Type:Individual
Prefix:MR
First Name:TOBIAS
Middle Name:C
Last Name:STEEN
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:MR
Other - First Name:TOBY
Other - Middle Name:C
Other - Last Name:STEEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA-C
Mailing Address - Street 1:48106 150TH ST NW
Mailing Address - Street 2:
Mailing Address - City:OSLO
Mailing Address - State:MN
Mailing Address - Zip Code:56744-9437
Mailing Address - Country:US
Mailing Address - Phone:130-785-1037
Mailing Address - Fax:
Practice Address - Street 1:48106 150TH ST NW
Practice Address - Street 2:
Practice Address - City:OSLO
Practice Address - State:MN
Practice Address - Zip Code:56744-9437
Practice Address - Country:US
Practice Address - Phone:130-785-1037
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-07
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant