Provider Demographics
NPI:1841235140
Name:ASP, STEPHEN D (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:D
Last Name:ASP
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:712 SOUTH CASCADE STREET
Mailing Address - Street 2:
Mailing Address - City:FERGUS FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56537-2813
Mailing Address - Country:US
Mailing Address - Phone:218-736-8000
Mailing Address - Fax:218-739-6742
Practice Address - Street 1:712 SOUTH CASCADE STREET
Practice Address - Street 2:
Practice Address - City:FERGUS FALLS
Practice Address - State:MN
Practice Address - Zip Code:56537-2813
Practice Address - Country:US
Practice Address - Phone:218-736-8000
Practice Address - Fax:218-739-6742
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2014-03-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN27793207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN724867900Medicaid
MN410917444OtherSDA-ONE HEALTH PLAN
MN1008274OtherSDA PREFERRED ONE #
MNHP21423OtherSDA HEALTHPARTNERS #
MN120252OtherSDA UCARE #
ND14432Medicaid
MN040013395OtherSDA MEDICARE RR #
MN10-07748OtherMEDICA-ASP
MN62D50ASOtherSDA BCBS #
MN10-07748OtherMEDICA-ASP
MN724867900Medicaid